中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2009年
5期
279-282
,共4页
邓爱东%顾剑辉%汤锦渡%钱忠卫%陈情忠
鄧愛東%顧劍輝%湯錦渡%錢忠衛%陳情忠
산애동%고검휘%탕금도%전충위%진정충
桡骨骨折%骨折固定术%内%功能评价
橈骨骨摺%骨摺固定術%內%功能評價
뇨골골절%골절고정술%내%공능평개
Rradius fractures%Fracture fixation internal%Functional assessment
目的 通过分析AO掌侧锁定加压接骨板(locking compression plate LCP)治疗桡骨远端骨折的随访结果,探讨影响掌侧LCP治疗桡骨远端骨折疗效的因素.方法 对2004年7月-2007年10月,在我科采用AO掌侧LCP治疗的55例桡骨远端骨折患者进行随访.随访内容包括测量腕关节运动范围及握力,应用Gartland/Werley腕关节评分法和DASH上肢功能评定标准进行评分.结果 55例患者获得6～44个月的随访(平均17.3个月),骨折均愈合.疗效按Cartard/Werley腕关节评分:优32例,良10例,可12例,差1例,优良率76.4%;DASH上肢功能评定得分为[(9.3±13.8)分,x±s,下同].≤55岁组DASH评分为(9.2±15.6)分,Cartland/Wedey腕关节评分为(3.8 4±5.2);＞55岁组DASH评分为(9.4±11.2)分,Gartland/erley腕关节评分为(4.8±5.1);两组间差异无统计学意义(P＞0.05).单纯桡骨远端骨折组DASH评分为(4.9±6.4)分,Gaaland/Wedcy腕关节评分为(2.7±3.8);伴有尺侧损伤或严重局部软组织损伤组DASH评分为(14.1±18.0)分,Gartland/Werley腕关节评分为(5.9±6.0);两组间差异有统计学意义(P＜0.05).结论 AO掌侧LCP治疗桡骨远端骨折的固定效果好,配合适当的术后功能锻炼,可取得良好的疗效.采用AO掌侧IEP作内固定在≤55岁和＞55岁两个年龄组中腕关节功能恢复相近,而伴有尺侧损伤或严重局部软组织损伤者功能恢复较差.
目的 通過分析AO掌側鎖定加壓接骨闆(locking compression plate LCP)治療橈骨遠耑骨摺的隨訪結果,探討影響掌側LCP治療橈骨遠耑骨摺療效的因素.方法 對2004年7月-2007年10月,在我科採用AO掌側LCP治療的55例橈骨遠耑骨摺患者進行隨訪.隨訪內容包括測量腕關節運動範圍及握力,應用Gartland/Werley腕關節評分法和DASH上肢功能評定標準進行評分.結果 55例患者穫得6～44箇月的隨訪(平均17.3箇月),骨摺均愈閤.療效按Cartard/Werley腕關節評分:優32例,良10例,可12例,差1例,優良率76.4%;DASH上肢功能評定得分為[(9.3±13.8)分,x±s,下同].≤55歲組DASH評分為(9.2±15.6)分,Cartland/Wedey腕關節評分為(3.8 4±5.2);＞55歲組DASH評分為(9.4±11.2)分,Gartland/erley腕關節評分為(4.8±5.1);兩組間差異無統計學意義(P＞0.05).單純橈骨遠耑骨摺組DASH評分為(4.9±6.4)分,Gaaland/Wedcy腕關節評分為(2.7±3.8);伴有呎側損傷或嚴重跼部軟組織損傷組DASH評分為(14.1±18.0)分,Gartland/Werley腕關節評分為(5.9±6.0);兩組間差異有統計學意義(P＜0.05).結論 AO掌側LCP治療橈骨遠耑骨摺的固定效果好,配閤適噹的術後功能鍛煉,可取得良好的療效.採用AO掌側IEP作內固定在≤55歲和＞55歲兩箇年齡組中腕關節功能恢複相近,而伴有呎側損傷或嚴重跼部軟組織損傷者功能恢複較差.
목적 통과분석AO장측쇄정가압접골판(locking compression plate LCP)치료뇨골원단골절적수방결과,탐토영향장측LCP치료뇨골원단골절료효적인소.방법 대2004년7월-2007년10월,재아과채용AO장측LCP치료적55례뇨골원단골절환자진행수방.수방내용포괄측량완관절운동범위급악력,응용Gartland/Werley완관절평분법화DASH상지공능평정표준진행평분.결과 55례환자획득6～44개월적수방(평균17.3개월),골절균유합.료효안Cartard/Werley완관절평분:우32례,량10례,가12례,차1례,우량솔76.4%;DASH상지공능평정득분위[(9.3±13.8)분,x±s,하동].≤55세조DASH평분위(9.2±15.6)분,Cartland/Wedey완관절평분위(3.8 4±5.2);＞55세조DASH평분위(9.4±11.2)분,Gartland/erley완관절평분위(4.8±5.1);량조간차이무통계학의의(P＞0.05).단순뇨골원단골절조DASH평분위(4.9±6.4)분,Gaaland/Wedcy완관절평분위(2.7±3.8);반유척측손상혹엄중국부연조직손상조DASH평분위(14.1±18.0)분,Gartland/Werley완관절평분위(5.9±6.0);량조간차이유통계학의의(P＜0.05).결론 AO장측LCP치료뇨골원단골절적고정효과호,배합괄당적술후공능단련,가취득량호적료효.채용AO장측IEP작내고정재≤55세화＞55세량개년령조중완관절공능회복상근,이반유척측손상혹엄중국부연조직손상자공능회복교차.
Objective To analyze the influencing factors for the treatment results of distal radius fracture by AO volar locking compression plate (LCP) fixation. Methods In the peaiod from July 2004 to October 2007,55 cases of distal radius fractures were treated with volar locking compreasion plate in our center.Clinical outcomes were evaluated by active ntnge of motion of the wrist and forearm,grip strength,Gartland/Werley wrist scoring systems and the Disabilities of the Arm,Shoulder, and Hand (DASH) questionnaire. Results There were 55 patients who were followed up for 6 to 44 months, with an average of 17.3 months.All the fractures healed.The Gartland/Werley scores were excellent in 32 cases,good in 10,fair in 12,and poor in 1.,The excellent and good rate was 76.4%.The average DASH score was 9.3±13.8.Patients younger than 55 years had DASH acores of 9.2±15.6 and Gardand/Werley scores of 3.8±5.2.while patients older than 55 years had DASH scores of 9.4±11.2 and Gartlard/Werley scores of 4.8±5.1.The differences between the two age groups were not statistically significant(P＞0.05).Patients with simple distal radius fractures had DASH scores of 4.9±6.4 and Cartland/Werley scores of 2.7±3.8.while those suffered accompanying ulnar side injury or severe soft tissue injuries had DASH scores of 14.1±18.0 and Gartland/Werley scores of 5.9±6.0,the differences being significant(P＜0.05). Conclusion The AO volar locking compression plate fixation provides solid fixation to the fractures.Supplemented with appropriate postopemtive training satisfactory results can be achieyed.Similar functional outcomes were Seen in patients younger or older than 55 years.Patients with ulnar side injury or severe soft tissue injuries appear to have worse results.
