| 田 鹏,于 洋,李天旺,李雪峰,范红旗.切开复位钢板内固定与外固定器治疗桡骨远端不稳定骨折的临床疗效[J].,2018,(6):1172-1175 |
| 切开复位钢板内固定与外固定器治疗桡骨远端不稳定骨折的临床疗效 |
| Comparative Study of Clinical Efficacy of Open Reduction and Internal Fixation of Steel Plate in the Treatment of Unstable Distal Radius Fractures |
| 投稿时间：2017-08-29 修订日期：2017-09-21 |
| DOI：10.13241/j.cnki.pmb.2018.06.037 |
| 中文关键词: 桡骨远端 不稳定骨折 切开复位钢板固定 外固定器 |
| 英文关键词: Distal radius Unstable fracture Open reduction plate fixation External fixator |
| 基金项目:国家"十二五"重大专项（2012ZX10002003-004-006） |
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| 中文摘要: |
| 摘要 目的：探讨比较复位钢板内固定与外固定器治疗桡骨远端不稳定骨折患者的的临床效果研究。方法：回顾性选取2013年2月-2017年4月于医院骨科诊治的桡骨远端不稳定骨折患者62例，随机分为两组，对照组有30例患者采用外固定器治疗；研究组32例患者采取切开复位钢板内固定治疗。统计分析两组患者的骨性愈合时间、掌倾角度、尺偏角度、及关节面恢复情况，在治疗3个月后比较两组患者的腕关节屈曲度、背伸度、侥偏活动度及腕关节功能Robbins评分。结果：①研究组患者的骨性愈合时间、掌倾角度、尺偏角度、桡偏角度明显高于对照组患者(P＜0.05)；②研究组患者的腕关节屈曲度、背伸度、侥偏活动度及腕关节功能Robbins评分明显优于对照组患者（P均＜0.05）。结论：切开复位钢板内固定治疗桡骨远端不稳定骨折患者，明显比外固定器治疗有效缩短骨性愈合时间，利于早期恢复患者腕关节的活动能力，是一种具有安全性较高、治愈效果理想的骨折治疗方式。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate and compare the clinical effect of fixed plate internal fixation and external fixator in the treatment of unstable distal radius fractures. Methods: 62 patients with unstable distal radius fractures in the department of orthopedics of our hospital from February 2013to April 2017 for diagnosis and treatment were retrospectively chosen. They were randomly divided into two groups. 30 patients in the control group were treated with external fixator. The study group of 32 patients was treated with open reduction and internal fixation. The bone healing time, palm tilt angle, foot angle, and the recovery of articular surface of the two groups were taken for statistical analysis. The brachial flexion, dorsiflexion, mobility, and wrist function robbins score 3 months after treatment were compared between the two groups. Results: ① The bone healing time, palm tilt angle, ulnar angle and radial angle of the study group were significantly higher than those of the control group (P <0.05). ② The brachial flexion, dorsiflexion, mobility and wrist function Robbins score in the study group were significantly better than the control group (P <0.05). Conclusion: The treatment of unstable distal radius fractures with open reduction and plate fixation is effective in shortening bone healing time than that of external fixator, it is conducive to the early recovery of patients with the activities of the wrist, and it is a high degree of safety, healing effect of the ideal treatment of fracture. |
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