CAJ | 학술논문

目的：分析桡骨远端关节内骨折术后桡骨短缩的相关影响因素,提高桡骨远端骨折的远期疗效,更好恢复患者腕关节功能。方法选择2010年1月—2012年1月唐山市第二医院手术治疗63例闭合桡骨远端骨折患者进行随访,根据桡骨短缩是否>4mm,分为桡骨短缩组(桡骨短缩距离>4mm)、对照组(桡骨短缩距离<4mm),分析术后桡骨短缩的相关影响因素。结果年龄、骨折类型、是否植骨、过早负荷为桡骨短缩的影响因素(P均<0.05),手术入路、是否合并尺骨茎突骨折、受伤至手术的时间、固定方式对桡骨短缩无明显影响(P>0.05),掌倾角和尺偏角比较差异无统计学意义(P>0.05),腕关节功能评分优良率短缩组低于对照组,差异有统计学意义(P<0.05)。结论手术时临床医生应考虑到导致桡骨短缩的影响因素,采用适当的防治措施,以减低术后桡骨短缩的发生。
목적：분석뇨골원단관절내골절술후뇨골단축적상관영향인소,제고뇨골원단골절적원기료효,경호회복환자완관절공능。방법선택2010년1월—2012년1월당산시제이의원수술치료63례폐합뇨골원단골절환자진행수방,근거뇨골단축시부>4mm,분위뇨골단축조(뇨골단축거리>4mm)、대조조(뇨골단축거리<4mm),분석술후뇨골단축적상관영향인소。결과년령、골절류형、시부식골、과조부하위뇨골단축적영향인소(P균<0.05),수술입로、시부합병척골경돌골절、수상지수술적시간、고정방식대뇨골단축무명현영향(P>0.05),장경각화척편각비교차이무통계학의의(P>0.05),완관절공능평분우량솔단축조저우대조조,차이유통계학의의(P<0.05)。결론수술시림상의생응고필도도치뇨골단축적영향인소,채용괄당적방치조시,이감저술후뇨골단축적발생。
Objective To analyze the relevant factors of the postoperative shortening at intra-articular fractures of distal radius,enhance the long-term effect of distal radius fracture,and to make wrist joint function in patients with better recovery.Methods This group was to be chosen from January 2010 to Jan-uary 2012,63 patients with intra-articular fractures of distal radius were treated in author's hospital,who were followed-up.According to the radius shortening distance was greater than 4mm,patients were di-vided into radius shortening group (radial shortening distance was more than 4mm),the control group (ra-dial shortening distance was less than 4mm),and then analyzed the related factors influencing postoperative radial shortening.Results Age,type of fracture,whether bone inplant in operation and early load exercise were significantly different between the two groups (P<0.05).But surgical approach,whether of the ulna styloid bone,the time from inj ury to the operation,the choice of internal fixation had no statistically signif-icant difference in the two groups (P>0.05).Volar tilting angle and ulnar inclination angle were not also significantly different between the two groups (P>0.05).The excellent and good rate of function score was lower in the radial shortening group than the control group,with a significantly difference (P<0.05). Conclusion Clinical doctor should pay more attention to the influencing factors for radial shortening and take corresponding precaution methods during operation in order to reduce the incidence of radial shortening after operation for the intra-articular fractures of the distal radius.