掌侧锁定板治疗桡骨远端不稳定性骨折临床效果探讨.docVIP

掌侧锁定板治疗桡骨远端不稳定性骨折临床效果探讨 　　[摘要] 目的 分析将掌侧锁定板应用于桡骨远端的不稳定性骨折治疗中的疗效。 方法 方便选择2015年10月―2016年10月于该院进行治疗的桡骨远端的不稳定骨折患者48例，依照治疗方式差别分成掌侧组与石膏组，各组24例，石膏组实施石膏外固定的治疗，掌侧组则实施掌侧锁定板治疗，对比治疗疗效。 结果 治疗后，石膏组患者骨折愈合的时间为（18.14±2.54）周、手术时间为（74.59±8.35）min，与掌侧组患者的（12.41±2.02）周、（50.37±5.64）min相比，对比差异有统计学意义（P0.05）；石膏组患者关节面的台阶为（1.52±0.34）mm、掌?A角为（14.62±3.21）°、桡骨短缩为（3.12±1.03）mm、尺偏角为（12.54±3.67）°，与掌侧组患者（0.64±0.11）mm、（22.58±4.06）°、（1.02±0.51）mm、（21.85±3.92）°相比，差异有统计学意义（P0.05）。结论 将掌侧锁定板应用于桡骨远端的不稳定性骨折治疗中，可以改善患者尺偏角与掌倾角等指标，能够缩短手术之间与骨折愈合的时间，值得应用。 　　[关键词] 掌侧锁定板；桡骨远端；不稳定性骨折；临床效果 　　[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0110-03 　　Study on Clinical Effect of Palmar Locking Plate in Treatment of Distal Radius Unstable Fracture 　　FANG Jian-meng 　　Department of Orthopedics and Traumatology， Wuhai Mengzhong Hospital， Wuhai， Inner Mongolia， 016000 China 　　[Abstract] Objective To analyze the curative effect of palmar locking plate in treatment of distal radius unstable fracture. Methods 48 cases of patients with distal radius unstable fracture treated in our hospital from October 2015 to October 2016 were convenient selected and divided into two groups according to the treatment method with 24 cases in each， the gypsum group were treated with plaster external fixation， while the palmar group were treated with palmar locking plate， and the treatment curative effect was compared. Results After treatment， the differences in the fracture healing time and operative time between the plaster group and the palmar group had statistical significance，[（18.14±2.54）weeks，（74.59±8.35）min vs （12.41±2.02）weeks， （50.37±5.64）min]， （P0.05）， and the differences in the articular surface step， palm angles of inclination， radial shortening and ulnar inclination between the plaster group and the palmar group had statistical significance，[（1.52±0.34）mm， （14.62±3.21）°， （3.12±1.03）mm， （12.54±3.67）° vs （0.64±0.11）mm， （22.58±4.06）°， （1.02±0.51）mm， （21.85±3.92）°]，（P0.05）. Conclusion The application of palmar locking plate in