CAJ | 학술논문

目的评价背侧双锁定加压钢板(locking compression plate,LCP)对桡骨远端伸直型不稳定骨折的治疗效果. 方法 14例桡骨远端伸直型不稳定骨折,采用背侧入路,骨折复位后用解剖型直形和“L”形LCP固定.术后早期开始腕关节动能锻炼.随访评价术后12,24周、1年的活动痛和腕关节功能评分及并发症的发生率. 结果随访5～24个月,术后12,24周,1年活动时的视觉模拟评分(visual analogue scale,VAS)分别为(1.88±0.26)分、(0.87±0.14)分、(0.37±0.06)分；腕关节功能评分(Gartland-Werley评分)分别为(6.45±1.72)分、(2.73±0.52)分、(2.10±0.31)分.终末随访时Gartland-Werley评分:优10例,良2例,可2例.并发拇长伸肌腱炎和指伸肌腱炎各1例. 结论背侧双LCP治疗桡骨远端伸直型不稳定骨折可有效恢复腕关节的解剖结构,无明显活动痛,术后功能恢复满意,是治疗桡骨远端骨折的有效方法之一.
목적 평개배측쌍쇄정가압강판(locking compression plate,LCP)대뇨골원단신직형불은정골절적치료효과. 방법 14례뇨골원단신직형불은정골절,채용배측입로,골절복위후용해부형직형화“L”형LCP고정.술후조기개시완관절동능단련.수방평개술후12,24주、1년적활동통화완관절공능평분급병발증적발생솔. 결과 수방5～24개월,술후12,24주,1년활동시적시각모의평분(visual analogue scale,VAS)분별위(1.88±0.26)분、(0.87±0.14)분、(0.37±0.06)분；완관절공능평분(Gartland-Werley평분)분별위(6.45±1.72)분、(2.73±0.52)분、(2.10±0.31)분.종말수방시Gartland-Werley평분:우10례,량2례,가2례.병발무장신기건염화지신기건염각1례. 결론 배측쌍LCP치료뇨골원단신직형불은정골절가유효회복완관절적해부결구,무명현활동통,술후공능회복만의,시치료뇨골원단골절적유효방법지일.
Objective To evaluate the outcome of dorsal double locking compression plate (LCP) in treatment of stretched unstable distal radial fractures.Methods Fourteen cases of stretched unstable distal radial fractures were treated by reduction and internal fixation using straight or L-shaped anatomic LCP via dorsal approach.Wrist functional exercise was conducted immediately after operation.Follow up was made after operation to assess motion pain,functional score of wrist,and complication incidence at postoperative 12 weeks,24 weeks,and 1 year.Results Follow-up was lasted for 5-24 months.At postoperative 12 weeks,24 weeks and 1 year,mean visual analogue scale (VAS) was (1.88 ±0.26) points,(0.87 ± 0.14) points and (0.37 ± 0.06) points respectively and wrist functional score (Gartland-Werley score) was (6.45 ± 1.72) points,(2.73 ± 0.52) points and (2.10 ± 0.31) points respectively.According to Garfland-Werley score in the latest follow-up,the results were excellent in 10 cases,good in two,and fair in two.Besides,one case was combined with myotenositis of extensor pollicis longus muscle tendon and another case with myotenositis of extensor tendon.Conclusion Dorsal double LCP is one of the effective methods for stretched unstable distal radial fractures that can reconstruct anatomical structure of the wrist efficiently and attain satisfactory functional recovery,with no obvious pain.