CAJ | 학술논문

目的探讨钢板内固定结合外固定支架在治疗桡骨远端粉碎性骨折中的临床应用及其疗效.方法对2009年1月至2010年8月收治的32例桡骨远端粉碎性骨折使用钢板内固定结合外固定支架治疗,通过对治疗效果评估及后续康复情况随访分析,以判断该方法的临床疗效.结果对本组32例患者均进行为期5～16个月(平均10个月)随访,此期间仅2例患者未遵医嘱进行相应的康复治疗.X线显示32例骨折全部一期愈合,平均愈合时间为9周,2例未进行康复治疗患者骨折愈合效果不及其余30例.所有病例未出现感染、损伤性骨化、骨不连、钢板、腕管综合征、缺血性骨坏死等并发症.结论钢板内固定结合外固定支架在治疗桡骨远端粉碎性骨折可获得满意的临床疗效,值得临床推广.
목적 탐토강판내고정결합외고정지가재치료뇨골원단분쇄성골절중적림상응용급기료효.방법 대2009년1월지2010년8월수치적32례뇨골원단분쇄성골절사용강판내고정결합외고정지가치료,통과대치료효과평고급후속강복정황수방분석,이판단해방법적림상료효.결과 대본조32례환자균진행위기5～16개월(평균10개월)수방,차기간부2례환자미준의촉진행상응적강복치료.X선현시32례골절전부일기유합,평균유합시간위9주,2례미진행강복치료환자골절유합효과불급기여30례.소유병례미출현감염、손상성골화、골불련、강판、완관종합정、결혈성골배사등병발증.결론 강판내고정결합외고정지가재치료뇨골원단분쇄성골절가획득만의적림상료효,치득림상추엄.
Objective To explore the clinical application and efficacy of for comminuted distal radius,providing the basis for clinical therapy.Methods The clinical data of 32 cases of unstable distal radius fracture undergoing external fixation combined with plate fixation were analyzed retrospectively,from January 2009 to august 2010.These data was analyzed to determine the clinical efficacy of this method.Results All of the patients were followed up for 5 ～ 16 months (average at 10 months).Except for two cases not taking the doctor's advices,the rest had gotten the satisfied treatment effects from the x-ray,and the average healing time was 9 weeks.All cases did not appear to infection,injury ossification,nonunion,plate loosening,carpal tunnel syndrome,avascular necrosis and other complications.Conclusion External fixation combined with plate fixation therapy comminuted distal radius has good clinical efficiency and fewer complications,so it is worthy of clinical application.