CAJ | 학술논문

目的：探讨切开复位钢板内固定术治疗桡骨远端骨折的效果及其预后的影响因素。方法桡骨远端骨折患者216例，采用随机数字表法分为两组，108例患者采用手法整复夹板外固定治疗为对照组，108例患者采用切开复位钢板内固定术治疗为观察组，随访3个月，行影像学评分和腕关节功能评定。结果观察组影像学评分高于对照组，腕关节功能评分低于对照组（P ＜0.05）。影响因素有年龄、AO 分型、合并同侧其他骨折、术后开始锻炼时间。结论切开复位钢板内固定术是治疗桡骨远端骨折的有效方法。年龄、AO 分型、合并同侧其他骨折、术后开始锻炼时间均是影响因素。
목적：탐토절개복위강판내고정술치료뇨골원단골절적효과급기예후적영향인소。방법뇨골원단골절환자216례，채용수궤수자표법분위량조，108례환자채용수법정복협판외고정치료위대조조，108례환자채용절개복위강판내고정술치료위관찰조，수방3개월，행영상학평분화완관절공능평정。결과관찰조영상학평분고우대조조，완관절공능평분저우대조조（P ＜0.05）。영향인소유년령、AO 분형、합병동측기타골절、술후개시단련시간。결론절개복위강판내고정술시치료뇨골원단골절적유효방법。년령、AO 분형、합병동측기타골절、술후개시단련시간균시영향인소。
Objective To investigate prognosis influence factors and effect of open reduction and plate fixation in treatment of distal radius fractures. Methods 216 patients with distal radius fractures were randomly divided into two groups.108 patients treated manipulative reduction and splint fixation as control group. 108 patients treated open reduction and plate <br> fixation as observation group. Patients were followed up 3 months. Patients underwent imaging score and wrist joint function evaluation. Results Imaging score in observation group was higher than control group. Wrist joint function score in observation group was lower than control group (P<0.05). Age, AO type, combined with other ipsilateral fractures, start time of exercise after operation were influence factors. Conclusion Open reduction and plate fixation is an effective method in treatment of distal radius fractures. Age, AO type, combined with other ipsilateral fractures, start time of exercise after operation were influence factors.