不同方法治疗桡骨远端不稳定骨折临床疗效分析.docVIP

不同方法治疗桡骨远端不稳定骨折临床疗效分析 　　[摘要] 目的 分析用不同方法治疗桡骨远端不稳定骨折的疗效。 方法 分析75例桡骨远端不稳定骨折的治疗，均先采用手法复位前臂石膏夹固定治疗，其中27例维持石膏固定4～8周，后拆除石膏进行功能锻炼；23例采用“T”型钢板固定，25例用外固定架固定治疗，分别进行骨折的功能评分，比较不同方法的优良率。 结果 75例均获随访，随访时间6～18个月，功能评分外固定支架组优良率为88.0%，“T”型钢板组为91.3%，石膏托组为44.4%，其中外固定支架组和“T”形钢板内固定组比较差异无统计学意义（P ＞ 0.05），但两组均明显优于石膏托外固定组（P ＜ 0.05）。 结论 对于桡骨远端不稳定骨折，外固定支架固定简单、安全、微创，临床效果好。 　　[关键词] 桡骨远端骨折；外固定支架；内固定；石膏固定 　　[中图分类号] R683.41 [文献标识码] A [文章编号] 1674-4721（2012）02（a）-0045-03 　　 　　Effect compared on unstable distal radius fracture by three different fixations 　　LAN Haifeng PENG Weixiong WU Shaojian ZHAO Ziping 　　Department of Orthopedics, Liwan Hospital of Guangzhou Medical College, Guangzhou 510170, China 　　[Abstract] Objecctive To analyse the clinical result after different treatment on unstable distal radius fractures. Methods There were 75 cases of unstable distal radius fractues, all of which were treated with close diaplasis and external plaster splint fixation first. Then 27 cases in 75 cases were maintained the external plaster splint fixation for 4 to 8 weeks, 23 cases in 75 cases were treated with operation and internal “T” model plate fixation, 25 cases in 75 cases were treated with operation and external fixator. Results were evaluated by function after treatment, and percentage of excellence was compared with three different fixation. Results ALL cases were followed up for 6-18 months. The excellence rate of function: external fixator group was 88.0%, “T”model plate group was 91.3% and 44.4% for the plaster group. There were no significant quality difference between external fixator and “T” model plate fixation group, but both were significantly better than the external plaster fixation group. Conclusion For unstable distal radius fractues, external fixator is simple, safe, minimally invasive and clinically effective. 　　[Key words] Distal radius fracture; External fixator; Internal fixation; Plaster fixation 　　 　　桡骨远端骨折是临床最常见的骨折之一，其发生率约占急诊骨折的20%左右[1]，以老年女性多见，治疗不当易引起畸形愈合、创伤性关节炎，从而严重影