CAJ | 학술논문

目的：观察有限切开结合外固定支架与掌侧锁定加压钢板治疗老年桡骨远端C3．1型骨折的疗效。方法将46例高龄桡骨远端C3．1型骨折病人随机分成两组，通过有限切开结合外固定支架（24例）或掌侧锁定加压钢板两种方案进行治疗（22例），比较其桡骨远端掌倾角、尺偏角、桡骨高度、关节面台阶的差异性。结果按照腕关节功能按照Sarmiento标准评定，支架组：优良率：91．6％；钢板组：优良率：95．4％．根据改良Lid-strom-Radiographic评分系统，评定两组桡骨远端掌倾角、尺偏角、桡骨高度、关节面台阶，两组评分差异无统计学意义（P＞0．05）。结论对于老年桡骨远端C3．1型骨折的治疗，有限切开结合外固定支架与掌侧锁定加压钢板都是很好的治疗方案。
목적：관찰유한절개결합외고정지가여장측쇄정가압강판치료노년뇨골원단C3．1형골절적료효。방법장46례고령뇨골원단C3．1형골절병인수궤분성량조，통과유한절개결합외고정지가（24례）혹장측쇄정가압강판량충방안진행치료（22례），비교기뇨골원단장경각、척편각、뇨골고도、관절면태계적차이성。결과안조완관절공능안조Sarmiento표준평정，지가조：우량솔：91．6％；강판조：우량솔：95．4％．근거개량Lid-strom-Radiographic평분계통，평정량조뇨골원단장경각、척편각、뇨골고도、관절면태계，량조평분차이무통계학의의（P＞0．05）。결론대우노년뇨골원단C3．1형골절적치료，유한절개결합외고정지가여장측쇄정가압강판도시흔호적치료방안。
[ ABSTRACT] Objective To analyse the curative effect of the limited incision combined with external fixation and volar locking compression plate in the treatment of AO type C3.1 fractures of the elderly distal radius.Methods Forty-six cases of elderly patients with distal radius type C3.1 fractures were randomly divided into two groups,through limited incision combined with external fixation(24 cases) or volar locking compression plate two options for treatment (22 cases) .And the difference between the radius distal palmar tilt,ulnar deviation,radial height,articular surface step were compared by above two methods.Results According to the Sarmiento standard,the wrist joint functions were evalu-ated,external fixation group:excellent rate:91.6%;locking compression plate group:excellent rate:95.4%.According to the modified Lidstrom-Radiographic grading system,evaluate the difference in the two groups of distal radial palmar tilt,ulnar deviation,radial height,articular step.There was no significant difference between the two groups( P>0.05) . Conclusion For the treatment of AO type C3.1 fractures in elderly patients with distal radius fractures,the limited inci-sion combined with external fixation and volar locking compression plate are both good treatment methods.