摘要
目的目的探究掌侧万向锁定接骨钢板与外固定支架治疗对高龄桡骨远端骨折患者的影响。方法方法回顾性分析2020年6月~2022年6月在我院骨科接受治疗的高龄桡骨远端骨折84例患者临床资料。按治疗方式不同,给予掌侧万向锁定接骨钢板治疗者纳入钢板组(n=46),给予支架组给予外固定支架治疗者纳入支架组(n=38)。对比两组围手术期指标和术后并发症发生率,记录两组术前和术后6个月腕关节功能(Cooney腕关节评分法)。结果结果术中出血量、手术时间和住院时间:钢板组高于支架组(P<0.05);术后6个月,两组疼痛、功能状态、活动范围和握力评分明显升高(P<0.05),且钢板组涨幅更大(P<0.05);两组术后并发症发生率,无明显差异(P>0.05)。结论结论高龄桡骨远端骨折患者选取两种治疗均可取得明显治疗效果,但外固定支架治疗创伤更小,患者术后恢复更快,掌侧万向锁定接骨钢板治疗对患者腕关节功能改善更明显。
Objective To explore the effect of volar universal locking plate and external fixation scaffold on elderly patients with distal radius fractures.Methods Clinical data of 84 elderly patients with distal radius fractures who received treatment in de-partment of orthopedics of our hospital from June 2020 to June 2022 were retrospectively analyzed.According to different treat-ment methods,the patients who received volar universal locking plate were included in plate group(n=46),and the patients who underwent external fixation scaffold were enrolled as scaffold group(n=38).Perioperative indicators and incidence rates of postop-erative complications were compared between the two groups,and the wrist function(Cooney wrist score)before surgery and at 6 months after surgery was recorded and compared.Results The intraoperative blood loss,surgical time and hospital stay were more or longer in plate group than those in scaffold group(P<0.05).At 6 months after surgery,the scores of pain,functional status,range of motion and grip strength were significantly increased in both groups(P<0.05),and more significantly in plate group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Con-clusion:In elderly patients with distal radius fractures,both treatments can achieve significant therapeutic effects,but the exter-nal fixation stent treatment is less traumatic,the postoperative recovery of patients is faster,and the volar universal locking plate treatment can improve the wrist joint function more significantly.
作者
陈仲育
赵汝家
陈永春
Chen Zhongyu;Zhao Rujia;Chen Yongchun(Department of Orthopedics,Xiamen Fifth Hospital,Fujian 361101,China)
出处
《西藏医药》
2024年第4期17-19,共3页
Tibetan Medicine
关键词
高龄桡骨远端骨折
外固定支架
掌侧万向锁定接骨钢板
Elderly distal radius fractures
External fixation scaffold
Volar universal locking plate
