江汉大学学报(自然科学版) ›› 2015, Vol. 43 ›› Issue (4): 382-384.

• 医学 • 上一篇    

掌侧锁定钢板治疗桡骨远端骨折疗效分析

黄吉利 , 潘 捷, 童 杰, 赵鸿声   

  1. 江汉大学 附属医院骨外科, 湖北 武汉 430015
  • 出版日期:2015-08-28 发布日期:2015-08-13
  • 作者简介:黄吉利( 1979—), 男 , 主治医师 , 硕士, 研究方向: 骨与关节损伤。

Analysis of Volar Locking Plate Operation on Distal Radius Fractures

HUANG Jili, PAN Jie, TONG Jie, ZHAO Hongsheng   

  1. Department of Orthopaedics, Affiliated Hospital of Jianghan University, Wuhan 430015, Hubei, China
  • Online:2015-08-28 Published:2015-08-13

摘要: 目 的 探讨掌侧锁定钢板治疗桡骨远端骨折的临床疗效。 方 法 分析 68 例桡骨远端骨折患者, 治疗组 32 例 , 采用手术切开复位掌侧锁定钢板固定, 对照组 36 例 , 采用手法复位石膏固定, 比较桡骨高度、 掌倾角 、 尺偏角恢复情况, 并在 6 个月 、 12 个月时采用腕关节 Cooney 评分进行评估。 结 果 治疗组桡骨高度、尺偏角 及掌倾角恢复优于对照组( P < 0. 05),治疗组在治疗后 6个月及12个月时腕关节 Cooney评分高于对照组( P < 0. 05), 差异均有统计学意义。 结 论 掌侧锁定钢板治疗桡骨远端骨折腕关节功能恢复优于手法复位石膏固定, 疗效满意。

关键词: 掌侧锁定钢板, 桡骨远端骨折, 手法复位

Abstract: Objective To investigate the clinical effect of volar locking plate for treatment of distal radius fractures. Methods There were 68 cases of patients with distal radius fracture in the study.32 cases in the treatment group were treated with the operation of open reduction and volar locking plate fixation. 36 cases in the control group were treated with the manipulative reduction and plaster fixation. The radiale height , volar tilt , radiale inclination were compared , the Cooney scores were used to assess wrist joint function at 6th and 12th months after the treatments. Results The recovery of radiale height, volar tilt, radiale inclination in treatment group were better than those in control group ( P < 0. 05), The Cooney score of the treatment group at 6th and 12th months were higher than those of the control group( P < 0. 05), There were statistical significance between two groups. Conclusion The wrist joint function recovery of patients treated by volar locking plate fixation is better than that of manual reduction and plaster fixation. This method has satisfactory curative effect.

Key words: volar locking plate, distal radius fractures, manipulative reduction

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