CAJ | 학술논문

目的：探讨尺骨茎突基底部骨折的治疗方式对腕关节功能的影响。方法2007年1月～2011年6月，随机选取45例尺骨茎突基底部骨折患者临床资料。其中男性28例，女性17例；年龄23～65岁。手术切开复位内固定15例，石膏托外固定12例，未做特殊处理18例。疗效评定采用Gartland-Werley腕关节功能评分。结果所有患者随访18～70个月，平均27.5月。 Gartland-Werley腕关节功能评分方面，手术切开复位内固定组优7例，良6例，中2例（优良率为86.7％）；石膏托外固定组优2例，良3例，中7例（优良率为41.7％）；未做特殊处理组优4例，良3例，中11例（优良率为38.9％）。结论尺骨茎突基底部骨折应尽量采用手术切开复位内固定。
목적：탐토척골경돌기저부골절적치료방식대완관절공능적영향。방법2007년1월～2011년6월，수궤선취45례척골경돌기저부골절환자림상자료。기중남성28례，녀성17례；년령23～65세。수술절개복위내고정15례，석고탁외고정12례，미주특수처리18례。료효평정채용Gartland-Werley완관절공능평분。결과소유환자수방18～70개월，평균27.5월。 Gartland-Werley완관절공능평분방면，수술절개복위내고정조우7례，량6례，중2례（우량솔위86.7％）；석고탁외고정조우2례，량3례，중7례（우량솔위41.7％）；미주특수처리조우4례，량3례，중11례（우량솔위38.9％）。결론척골경돌기저부골절응진량채용수술절개복위내고정。
Objective To investigate the effects of different treatment modalities on wrist function for pa-tients with ulnar styloid base fracture .Methods From Jan.2007 to Jun.2011,clinical data of 45 cases of ulnar styloid base fracture were randomly selected ,including 28 male patients and 17 female patients .These patients ’ age ranged from 23 to 65 years,with an average of 37.3 years.After open reduction and internal fixation for distal radi-us fracture ,15 patients were treated with open reduction and internal fixation for associated ulnar styloid base frac -ture,12 patients with cast immobilization and 18 patients with no special treatment .Gartland-Werley wrist function score was used to evaluate the clinical outcome .Results All patients had been followed up for 27.5 months (18-70 months ) . For Gartland-Werley wrist function score , 13 patients with open reduction and internal fixation (86.7%) got excellent result ,5 patients with cast immobilization (41.7%) got excellent result and 7 patients with no special treatment(38.9%) got excellent result.Conclusion Open reduction combined with internal fixation is an ideal treatment method for ulnar styloid base fracture .