CAJ | 학술논문

目的探讨克氏针联合外固定支架治疗桡骨远端不稳定骨折的临床疗效.方法选取桡骨远端不稳定骨折患者120例,其中采用经皮克氏针联合外固定支架治疗60例(观察组),采用切开复位锁定接骨板系统内固定治疗60例(对照组).比较两组患者术中出血量及手术时间,术后切口愈合时间、骨折愈合时间以及并发症发生情况.结果观察组患者手术时间、切口愈合时间、骨折愈合时间均明显短于对照组、术中出血量显著少于对照组,差异均有统计学意义(P<0.05或0.01).两组患者术后腕关节功能及复位质量均无明显差异(均P>0.05).观察组患者术后仅创伤性关节炎发生率明显低于对照组(P<0.05),两组患者其他并发症发生率的差异均无统计学意义(均P>0.05).结论克氏针联合外固定支架治疗桡骨远端不稳定骨折,具有创伤小、岀血量少,缩短手术时间、伤口愈合时间及骨折愈合时间,恢复快、功能良好、术后并发症发生率低等优点,值得临床推广.
목적탐토극씨침연합외고정지가치료뇨골원단불은정골절적림상료효.방법선취뇨골원단불은정골절환자120례,기중채용경피극씨침연합외고정지가치료60례(관찰조),채용절개복위쇄정접골판계통내고정치료60례(대조조).비교량조환자술중출혈량급수술시간,술후절구유합시간、골절유합시간이급병발증발생정황.결과관찰조환자수술시간、절구유합시간、골절유합시간균명현단우대조조、술중출혈량현저소우대조조,차이균유통계학의의(P<0.05혹0.01).량조환자술후완관절공능급복위질량균무명현차이(균P>0.05).관찰조환자술후부창상성관절염발생솔명현저우대조조(P<0.05),량조환자기타병발증발생솔적차이균무통계학의의(균P>0.05).결론극씨침연합외고정지가치료뇨골원단불은정골절,구유창상소、출혈량소,축단수술시간、상구유합시간급골절유합시간,회복쾌、공능량호、술후병발증발생솔저등우점,치득림상추엄.
Objective To evaluate the efficacy of Kirschner wire combined with external fixator in treatment of unstable distal radius fracture. Methods One hundred and twenty patients with unstable fracture of the distal radius were divided into K-wire group and control group with 60 cases in each. K-wire group was treated with external fixation combined with limited in-ternal fixation, control group was treated with open reduction and internal fixation with locking plate system. Results The opera-tive time, wound healing time, fracture healing time and blood loss in K-wire group was less than those in control group (al P<0.05). The incidence of traumatic arthritis was significantly lower in K-wire group than that in control group (P<0.05);there were no significant differences in other postoperative complications between two groups (P>0.05). Conclusion Kirschner wire com-bined with external fixator is a surgical modality with less trauma, less blood loss, shorter operation time, wound healing time and healing time, quick recovery, good function recovery, lower postoperative complication in treatment of unstable fracture of the distal radius.