CAJ | 학술논문

目的比较研究锁定加压钢板(LCP)与克氏针结合外固定支架治疗桡骨远端复杂关节内骨折的疗效及适应证. 方法分别以LCP和克氏针结合外固定支架治疗复杂的桡骨远端关节内骨折共98例,对术后手的握持力、腕关节各方向活动度等方面进行回顾性评估和比较,初步评价其临床疗效. 结果随访4～20个月,平均12.4个月,均获得骨折愈合.参照1990年纽约骨科医院腕关节评估标准,对于AO/ASIF分型C1、C2型骨折,LCP组与克氏针结合外固定支架组疗效比较,差异无统计学意义(P>0.05),C3型骨折克氏针结合外固定支架疗效优越(P<0.05).结论对于闭合性桡骨远端C1、C2型骨折,可选择掌侧LCP或克氏针结合外固定支架固定.而对于远端粉碎严重的C3型骨折,选择克氏针结合外固定支架疗效相对优越.
목적 비교연구쇄정가압강판(LCP)여극씨침결합외고정지가치료뇨골원단복잡관절내골절적료효급괄응증. 방법 분별이LCP화극씨침결합외고정지가치료복잡적뇨골원단관절내골절공98례,대술후수적악지력、완관절각방향활동도등방면진행회고성평고화비교,초보평개기림상료효. 결과 수방4～20개월,평균12.4개월,균획득골절유합.삼조1990년뉴약골과의원완관절평고표준,대우AO/ASIF분형C1、C2형골절,LCP조여극씨침결합외고정지가조료효비교,차이무통계학의의(P>0.05),C3형골절극씨침결합외고정지가료효우월(P<0.05).결론대우폐합성뇨골원단C1、C2형골절,가선택장측LCP혹극씨침결합외고정지가고정.이대우원단분쇄엄중적C3형골절,선택극씨침결합외고정지가료효상대우월.
Objective To compare the efficacies and indications of locking compression plate (LCP) and external fixator plus Kirschner wires in treatment of complex intra-articular fracture of the dis-tal radius. Methods Ninety-eight patients with complex intra-articular fractures of the distal radius were treated with volar LCP or external fixator plus Kirschner wires, the efficacies of which were evaluated by comparing the grasping force and wrist function of the patients. Results All the patients were fol-lowed up for an average of 12.4 months, which showed fracture healing in all the patients. According to the wrist function assessment system of New York Orthopedic Hospital (1990), there was no statistical difference in the efficacy of LCP and external f'lxator plus Kirschner wires in treatment of types C1 or C2 fractures (P > 0.05), while the efficacy of external fixator plus Kirschner wires was significantly superior to that of LCP in treating type C3 fracture (P < 0.05). Conclusions For types C1 or C2 intra-articu-lar fractures of the distal radius, the efficacies of LCP and external fixator plus Kirschner wires are simi-lar, while the efficacy of external fixator plus Kirschner wires is superior to that of LCP in treating type C3 intra-articular fracture of the distal radius.