桡骨远端不稳定骨折治疗的回顾性分析.docVIP

精品论文 参考文献 桡骨远端不稳定骨折治疗的回顾性分析 武汉市黄陂区中医院骨科 湖北武汉 430300 摘要：目的：探讨桡骨远端不稳定骨折治疗方法及临床疗效。方法：选取我院2014年11月～2015年12月骨外科收治的桡骨远端不稳定骨折患者50例，随机分为对照组和观察组，每组各25例，观察组采用掌侧锁定加压钢板治疗，对照组采用外固定支架治疗，观察比较两组治疗效果。结果：所有患者手术均顺利，末次随访日期2015年12月，所有患者未出现骨折移位及内固定松动的现象，于末次随访结果进行临床疗效评价，观察组治疗优良率明显高于对照组，差异有统计学意义（P＜0.05）。所有患者未见手术并发症的发生。结论：掌侧锁定加压钢板治疗桡骨远端不稳定骨折临床疗效明确，并发症少，值得临床推广应用。 关键词：掌侧；锁定钢板；桡骨远端；不稳定骨折 Unstable distal radius fractures were retrospectively analyzed the treatment Fang Rongwei （Department of orthopedics，Wuhan Huangpi Hospital of traditional Chinese medicine Hubei Wuhan 430300） [Abstract] Objective：To investigate the unstable distal radius fracture treatment method and clinical effect.Methods：in our hospital from November 2014 to December 2015 were bone surgery in the treatment of unstable distal radius fractures in patients with 50 cases，were randomly divided into control group and observation group，25 cases in each group.The observation group was treated with volar locking compression plate fixation，the control group were treated with external fixation，to observe and compare the therapeutic effect of the two groups.Results：all patients were operated successfully，the last follow-up date of December 2015，all patients had no fracture displacement and internal fixation loosening，at the end of follow-up results for clinical evaluation and treatment in observation group was significantly higher than the control group，the difference was statistically significant（P lt; 0.05）.All patients had no surgical complications.Conclusion：volar locking compression plate fixation for unstable distal radius fractures clearly，fewer complications，worthy of clinical application. [Key words] volar locking plate；distal radius；unstable fracture； 桡骨远端骨折是四肢最常见的骨折之一。桡骨远端不稳定骨折常??致复位后再丢失及骨折塌陷，固定强度差，功能恢复差，必须采取适当的手术方法来恢复关节面的完整和桡骨远端的解剖[1-2]。笔者采用掌侧锁定加压钢板治疗，并与外固定支架治疗进行比较，现报道如下。 1 临床资料 1.1 一般资料 选取我院2014年11月～2015年12月骨外科收治的桡骨远端不稳定骨折患者50例，其中男性患者28例，女性患者22例，年龄46--67岁，平均年龄（41.2plusmn;10.5）岁，致伤原因包