C型桡骨远端骨折三种内固定术治疗疗效及腕关节功能恢复情况随访结果比较.docVIP

C型桡骨远端骨折三种内固定术治疗疗效及腕关节功能恢复情况随访结果比较 魏入帅 李诚 连云港市第二人民医院骨科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨三种内固定术对C型桡骨远端骨折患者疗效及腕关节功能恢复情况的影响差异。方法:回顾性分析2011年5月2016年5月于我院行闭合复位经皮克氏针内固定术 (A组, n=26) 、掌侧Henry入路切开复位内固定术 (B组, n=28) 和背侧入路切开复位内固定术 (C组, n=26) 的共计80例C型桡骨远端骨折患者临床资料。比较三组受试者随访6个月、12个月时腕关节功能 (腕关节功能Cooney评分表) 优良率及治疗前、随访期间桡骨远端掌倾角、尺偏角及腕关节活动度检测结果变化情况, 记录其并发症发生率差异。结果:三组受试者并发症发生率比较均无显著性。随访期间, 三组受试者腕关节功能优良率比较均无显著性, 但同组受试者随访12个月时腕关节优良率均明显优于随访6个月时, 差异均有显著性。随访6个月、12个月时, 三组受试者桡骨远端掌倾角、尺偏角检测结果及腕关节活动度均较治疗前明显提高, 差异有显著性, 但组间比较无显著性。结论:三种内固定术式均在C型桃谷远端骨折中具有较高应用价值, 实际应用时可根据具体情况选择最佳术式, 为患者获得理想的远期预后效果提供条件。 关键词： 三种内固定术; C型桡骨远端骨折; 疗效; 腕关节功能; 作者简介：李诚, E-mail:1024477288@ 收稿日期：2017-08-05 Comparison of the efficacy of three kinds of internal fixation methodsin the treatment of type C distal radius fractures and the follow-up of wrist joint functional recovery Wei Ru-shuai Li Cheng Department of orthopaedics, Lianyungang Second Peoples Hospital; Abstract： Objective To investigate the efficacy of three kinds of internal fixation methods in the treatment of type C distal radius fractures and the effect on wrist joint functional recovery. Methods The clinical data of 80 patients with type C distal radius fractures who were treated by closed reduction and percutaneous Kirschner wire fixation (group A, n=26) , volar Henry approach open reduction and internal fixation (group B, n=28) and dorsal approach open reduction and internal fixation (group C, n=26) in the hospital between May 2011 and May 2016 were retrospectively analyzed. The excellent and good rates of wrist joint function (Cooney wrist function score) after 6 months and 12 months of follow-up, the radius distal palmar tilt and ulnar deviation during follow-up and changes of wrist range of motion were compared among the three groups, and incidence of postoperative complications were recorded. Results There were no significant differences in incidence rates of related complications between the thr