CAJ | 학술논문

目的：评估掌侧和背侧锁定钢板内固定治疗桡骨远端骨折术后的疗效。方法回顾性分析我院2008年1月～2011年1月146例老年桡骨远端骨折患者，平均年龄（66.4±8.3）岁，平均随访时间（36.4±13.3）月。其中112例采用掌侧锁定钢板固定，34例患者采用背侧锁定钢板固定。比较术后的复位情况、功能评分以及术后并发症。结果掌侧和背侧锁定钢板固定术后掌倾角、尺偏角及桡骨茎突高度均明显改善；术后功能评分两组无显著性差异。背侧锁定钢板内固定治疗组术后并发症较掌侧锁定钢板内固定术组高。结论掌侧锁定钢板内固定在大多数桡骨远端骨折类型中的疗效较好。在一些特殊病例中，背侧入路仍需考虑。
목적：평고장측화배측쇄정강판내고정치료뇨골원단골절술후적료효。방법회고성분석아원2008년1월～2011년1월146례노년뇨골원단골절환자，평균년령（66.4±8.3）세，평균수방시간（36.4±13.3）월。기중112례채용장측쇄정강판고정，34례환자채용배측쇄정강판고정。비교술후적복위정황、공능평분이급술후병발증。결과장측화배측쇄정강판고정술후장경각、척편각급뇨골경돌고도균명현개선；술후공능평분량조무현저성차이。배측쇄정강판내고정치료조술후병발증교장측쇄정강판내고정술조고。결론장측쇄정강판내고정재대다수뇨골원단골절류형중적료효교호。재일사특수병례중，배측입로잉수고필。
Objective The aim of this study was to evaluate curative effect of volar versus dorsal locking plates after distal radius fractures. Methods Retrospective investigation and analysis were carried out in 146 patients with distal radius fractures were treated with locked plating from January 2008 to January 2011. The mean age of the patients was (66.4±8.3)years and the mean follow up was (36.4±13.3)months. The palmar approach was used in 112 cases and the dorsal approach in34 cases patients. The postoperative reduction potential, wrist function, complieations were compared between the two groups. ResultsPostoperative volar tilt, ulnar deviation and radial styloid height of both groups was achieved a nearly anatomic reduction. No statistically significant scores of wrist function difference existed between the two groups. In the dorsal group, the complications rates were significantly higher. Conclusion Based on these facts, we advocate the palmar locking plate for the vast majority of fractures.In special cases, dorsal plating may still be considered.