摘要
目的:探讨经掌侧入路锁定加压钢板治疗桡骨远端骨折合并干骺端及骨干粉碎性骨折的临床价值。方法:对52例桡骨远端骨折合并干骺端及骨干粉碎性骨折患者采用经掌侧入路锁定加压钢板治疗,并对治疗效果进行分析。结果:治疗后根据Gartland and Werlkey功能评分标准,39例为优,9例为良,3例为可,1例为差,优良率为92.3%。术后掌倾角平均为12.3°,尺偏角平均为21.8°,桡骨长度平均达10.7 mm,与治疗前比较显著增加,差异均有统计学意义(t=27.824,18.832,41.924;均P<0.01)。结论:经掌侧入路锁定加压钢板治疗桡骨远端骨折合并干骺端及骨干粉碎性骨折效果较好,并发症发生率较低。
Objective： To investigate the clinical value of locking compression plate by volar approach in the treatment of distal radius fractures with metaphyseal and diaphyseal comminution. Methods： Fifty-two cases of distal radius fractures with metaphyseal and diaphyseal comminution were treated with locking compression plate by volar approach. The clinical results were analyzed. Results： According to Gartland and Werley score standard,39 cases were excellent,9 cases benign,3 cases moderate,1 case bad after treatment. The excellent rate was 92. 3%. The average palmar angle was 12. 3°,the average ulnar deviation was 21. 8° and the average radial length was 10. 7 mm after treatment. The differences compared to pre-treatment were statistically significant（ t = 27. 824,18. 832,41. 924; P〈0. 01）. Conclusion： Locking compression plate by volar approach in the treatment of distal radius fractures with metaphyseal and diaphyseal comminution has the better clinical efficacy with lower complication rates and high clinical value.
出处
《现代医学》
2016年第8期1080-1082,共3页
Modern Medical Journal
关键词
掌侧入路
锁定加压钢板
桡骨远端骨折
volar approach
locking compression plate
distal radius fractures
