外固定支架与有限切开植骨内固定结合治疗桡骨远端粉碎性骨折实效性探究.docVIP

外固定支架与有限切开植骨内固定结合治疗桡骨远端粉碎性骨折实效性探究 　　摘要：目的：探析外固定支架技术和有限切开植骨内固定技术相结合应用于治疗桡骨远端粉碎性骨折的实效性。方法：我院从2011年3月至2013年3月期间随机抽取22例桡骨远端粉碎性骨折，并对其采取外固定支架与有限切开复位、植骨、克氏针内固定技术相结合的方法进行治疗。手术6～18个月后对22例患者进行随访，观察治疗疗效。结果：治疗后测得患者的平均掌倾角为11.4。，平均尺偏角为23.0。；骨折愈合后测得患者的平均掌倾角为10.9。，平均尺偏角为22.8。。患者的复位质量在沈忆新评分中有17例为优，4例为良，优良率达95.45%；治疗效果在Dienst评分中有18例为优，2例为良，优良率达90.91%。所有患者均没有明显的感染及神经、肌腱损伤等不良反应。结论：将外固定支架技术与有限切开植骨内固定技术相结合应用于治疗桡骨远端粉碎性骨折时表现出较小的损伤性、固定可靠、安全有效等特点，值得推广应用。 　　关键词：外固定支架；有限切开植骨内固定；桡骨远端粉碎性骨折 　　Abstract：Objective：To study the effectiveness of external fixator combined with limited open graft fixation to treat the patients with distal radius fractures. Methods： During the time of March 2011 to March 2013， 22 distal radius fractures patients were selected in our hospital， using external fixator combined with limited open reduction， bone， kirschner wire fixation to treat them. For the 22 patients，after 6 ～ 18 months followed up days to observed treatment effect. Results： After treatment， the average palm inclination of them was 11.4， the average ulnar deviation of them was 23.0. After their fracture healing， the average palm inclination became 10.9。， the average ulnar deviation of them was 22.8. From all the patients， there were 17 cases were excellent， 4 cases were benign in Sen Yixin score of the reset quality， the good rate of 95.45%， and there were 18 cases were excellent， 2 cases were benign in Dienst score of the treatment effects， the good rate of 90.91%. All patients had no significant adverse reactions and nerve infection， tendon injury. Conclusion： It has the advantages of fixed reliable， less damage， safe and effective for the patients with distal radius fractures by the treatments of external fixator combined with limited open graft fixation and the method deserved to be used in clinical. 　　Keywords： External fixator； Limited open graft fixation； Distal radius fractures 　　桡骨远端骨折是指距桡骨远端骨关节面 3cm 以内的骨折，主要发生于中老年人群[1-2]。一般人体桡骨远端膨大，由松质骨构成，中老年人群的骨小梁脆性增加，骨机械强度降低，即使低强度损伤即可造成骨结构破坏，骨折移位、粉碎，严重短缩