实用骨科杂志
實用骨科雜誌
실용골과잡지
JOURNAL OF PRACTICAL ORTHOPEDICS
2014年
5期
405-408
,共4页
桡骨远端骨折%内固定%骨板
橈骨遠耑骨摺%內固定%骨闆
뇨골원단골절%내고정%골판
radius distal fracture%internal fixation%bone plates
目的：通过分组比较研究，观察一种支垫钉技术结合锁定钢板在治疗背侧不稳定桡骨远端关节内骨折的疗效。方法2008年12月至2013年2月，我科进行的所有背侧不稳定桡骨远端骨折手术治疗共107例，其中仅应用掌侧锁定钢板治疗（A 组）59例，应用掌侧锁定钢板结合支垫钉技术治疗（B 组）48例。随访两组患者术后掌倾角、尺偏角及 Dienst 功能评分等，比较两种手术方法在治疗背侧不稳定桡骨远端骨折中的疗效。结果两组患者随访时间8~21个月，随访以完成内固定取出手术为两组手术方法终点，平均14个月。术后 X 线片示骨折均愈合，钢板螺钉无松动断裂。两组患者掌倾角、尺偏角得到明显改善，B 组患者掌倾角改变更明显，且差异有统计学意义，尺偏角改善两组相似，差异无统计学意义，术后 Dienst 功能评估疗效，两组无明显差异，均取得了满意的疗效。结论支垫钉技术在桡骨远端背侧不稳定骨折的治疗中对有效恢复掌倾角存在积极意义，结合锁定钢板可牢固维持复位，有利于患肢腕关节功能恢复。
目的：通過分組比較研究，觀察一種支墊釘技術結閤鎖定鋼闆在治療揹側不穩定橈骨遠耑關節內骨摺的療效。方法2008年12月至2013年2月，我科進行的所有揹側不穩定橈骨遠耑骨摺手術治療共107例，其中僅應用掌側鎖定鋼闆治療（A 組）59例，應用掌側鎖定鋼闆結閤支墊釘技術治療（B 組）48例。隨訪兩組患者術後掌傾角、呎偏角及 Dienst 功能評分等，比較兩種手術方法在治療揹側不穩定橈骨遠耑骨摺中的療效。結果兩組患者隨訪時間8~21箇月，隨訪以完成內固定取齣手術為兩組手術方法終點，平均14箇月。術後 X 線片示骨摺均愈閤，鋼闆螺釘無鬆動斷裂。兩組患者掌傾角、呎偏角得到明顯改善，B 組患者掌傾角改變更明顯，且差異有統計學意義，呎偏角改善兩組相似，差異無統計學意義，術後 Dienst 功能評估療效，兩組無明顯差異，均取得瞭滿意的療效。結論支墊釘技術在橈骨遠耑揹側不穩定骨摺的治療中對有效恢複掌傾角存在積極意義，結閤鎖定鋼闆可牢固維持複位，有利于患肢腕關節功能恢複。
목적：통과분조비교연구，관찰일충지점정기술결합쇄정강판재치료배측불은정뇨골원단관절내골절적료효。방법2008년12월지2013년2월，아과진행적소유배측불은정뇨골원단골절수술치료공107례，기중부응용장측쇄정강판치료（A 조）59례，응용장측쇄정강판결합지점정기술치료（B 조）48례。수방량조환자술후장경각、척편각급 Dienst 공능평분등，비교량충수술방법재치료배측불은정뇨골원단골절중적료효。결과량조환자수방시간8~21개월，수방이완성내고정취출수술위량조수술방법종점，평균14개월。술후 X 선편시골절균유합，강판라정무송동단렬。량조환자장경각、척편각득도명현개선，B 조환자장경각개변경명현，차차이유통계학의의，척편각개선량조상사，차이무통계학의의，술후 Dienst 공능평고료효，량조무명현차이，균취득료만의적료효。결론지점정기술재뇨골원단배측불은정골절적치료중대유효회복장경각존재적겁의의，결합쇄정강판가뢰고유지복위，유리우환지완관절공능회복。
Objective To by compare study,observed the clinical curative effect of support stud technique combined with Volar LCP fixation for the treatment of dorsal inter-articular distal radial fracture. Methods From December 2008 to February 2013,107 patients were divided into two groups:Only applications LCP in the treatment group(A group,59 cases),the appli-cation of LCP combined with support stud group(B group,48 cases). We followed-up the patients,analysed the palmar tilt,ul-nar inclination and Dienst function score,evaluated the advantage of the support stud technology combined Volar LCP in the treatment of dorsal inter-articular distal radial fracture. Results All the patients were followed up form 8 to 21 months(aver-age 14 months). Postoperative X-ray showed all the fracture healed,no plate and screw broken and loosening. Patients palmar tilt,ulnar inclination had been significantly improved in both groth. There had significant improvement of group B patients with palmar tilt. Ulnar inclination improvement in the two groups was no significant difference. All patients′ Dienst score had no sig-nificant differences and achieved satisfactory results. Conclusion The support stud technique combined with Volar LCP fixa-tion is a safe and effective method for treat of the unstable distal radial fracture. It is more helpful for replacing,recovering the tilt and early functional.
