CAJ | 학술논문

目的探讨老年桡骨远端C型骨折采用内、外固定进行治疗的临床效果。方法选择2008年1月~2012年10月我院收治的老年桡骨远端C型骨折患者19例，其中11例行切开复位钢板内固定（Ⅰ组），另8例采用外固定支架配合有限内固定（Ⅱ组），比较2组患者预后Dienst评分情况。结果术前、术后3个月进行掌倾角、尺偏角、桡骨缩短等测量，两组各指标差异无统计学意义（P＞0.05）。根据Dienst评分标准，Ⅰ组优6例，良3例，中1例，差1例，优良率为81.8%；Ⅱ组优5例，良2例，中1例，优良率为87.5%。结论采取内、外固定治疗老年桡骨远端C型骨折术后疗效并无明显差异，但临床应用时仍需根据各患者具体情况进行评估，采用合适治疗方法。
목적탐토노년뇨골원단C형골절채용내、외고정진행치료적림상효과。방법선택2008년1월~2012년10월아원수치적노년뇨골원단C형골절환자19례，기중11례행절개복위강판내고정（Ⅰ조），령8례채용외고정지가배합유한내고정（Ⅱ조），비교2조환자예후Dienst평분정황。결과술전、술후3개월진행장경각、척편각、뇨골축단등측량，량조각지표차이무통계학의의（P＞0.05）。근거Dienst평분표준，Ⅰ조우6례，량3례，중1례，차1례，우량솔위81.8%；Ⅱ조우5례，량2례，중1례，우량솔위87.5%。결론채취내、외고정치료노년뇨골원단C형골절술후료효병무명현차이，단림상응용시잉수근거각환자구체정황진행평고，채용합괄치료방법。
Objective To investigate the elderly of type C fractures of the distal part of the radius with internal and external fixation for treatment of clinical effect. Methods Choosing 2008 January to October 2012 of our hospital patients with senile of type C fractures of the distal part of the radius 19 cases, 11 of whom underwent open reduction and plate internal fixation (Ⅰgroup),the other 8 patients with external fixation support cooperate with limited internal fixation (Ⅱ group),comparing two groups patients prognosis Dienst grading. Results Preoperative and postoperative 3 months to return to Angle,foot Angle,radial shortening of measurement, various indicators similar between the two groups has no statistical significance (P>0.05). According to Dienst scoring criteria,group 6 cases,3 cases,1 cases,1 case,was 81.8%; Ⅱ group 5 cases, good in 2 cases,1 cases,was 87.5%. Conclusion Internal and external fixation treatment of elderly of type C fractures of the distal part of the radius postoperative curative effect and no obvious difference, but has to be according to each particular case patients clinical application evaluation, using appropriate treatment.