摘要
目的:研究钛板内固定与克氏针闭合复位外固定治疗桡骨远端骨折的效果,为桡骨远端骨折的治疗提供依据。方法:选取2020年1月—2022年1月在沂南县人民医院诊断的80例桡骨远端骨折患者。根据治疗方式不同分为A组(克氏针闭合复位外固定治疗)、B组(钛板内固定治疗),各40例。比较两组手术时间、住院天数、骨折愈合时间、术后12个月腕关节功能及骨折复位质量。结果:A组手术时间、住院天数、骨折愈合时间明显短于B组,差异有统计学意义(P<0.05)。两组腕关节功能优良率比较,差异无统计学意义(P>0.05)。A组的掌倾角、尺偏角明显大于B组,差异有统计学意义(P<0.05)。两组桡骨高度对比,差异无统计学意义(P>0.05)。结论:克氏针闭合复位外固定治疗桡骨远端骨折,可缩短手术时间、住院天数、愈合时间,且骨折复位质量更高。
Objective:To study the effect of titanium plate internal fixation and Kirschner wire closed reduction external fixation in the treatment of distal radius fractures,and to provide a basis for the treatment of distal radius fractures.Method:A total of 80 patients with distal radius fracture diagnosed in Yinan County People's Hospital from January 2020 to January 2022 were selected.They were divided into group A(Kirschner wire closed reduction external fixation)and group B(titanium plate internal fixation)according to different treatment methods,with 40 cases in each group.Operation time,hospital stay,fracture healing time,wrist joint function and fracture reduction quality at 12 months after operation were compared between the two groups.Result:The operation time,hospital stay and fracture healing time in group A were significantly shorter than those in group B,and the differences were statistically significant(P<0.05).There was no significant difference in the excellent and good rate of wrist joint function between the two groups(P>0.05).The palmar inclination angle and ulnar declination angle of group A were significantly higher than those of group B,and the differences were statistically significant(P<0.05).There was no significant difference in radius height between the two groups(P>0.05).Conclusion:In the treatment of distal radius fracture with Kirschner wire closed reduction external fixation,the operative time,hospital stay and healing time are shortened,and the reduction quality of fracture is higher.
作者
付文毅
FU Wenyi(Yinan County People's Hospital,Yinan 276300,China)
出处
《中外医学研究》
2024年第3期5-8,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
钛板内固定
克氏针闭合复位外固定
桡骨远端骨折
Titanium plate internal fixation
Kirschner wire closed reduction external fixation
Distal radius fracture
