摘要
Abstract
Objective To summarize the treatment effect of AO type C2 and C3 fractures of the distal radius with dynamic ex-ternal fixation combined with minimally invasive reset and bone grafting and open reduction combined with locking compression plate internal fixation .To evaluate the merit and demerit of the two methods .Methods From September 2010 to March 2014 , we choose 62 cases with AO type C2 and C3 fractures of the distal radius ,and make a retrospective study of these patients'fol-low -up data .32 cases were treated with dynamic external fixation combined with minimally invasive reset and bone grafting , 30 cases were treated with open reduction combined with locking compression plate internal fixation .Collected and sorted out the patients'X-ray measurement data ,the common surgery complications ,as well as the wrists'Gartland-Werley function scores ,for statistical analysis .Results 62 cases of distal radius fractures have received bone healing .After surgeries ,the com-mon surgery complications showed that ,in the external fixation group ,nail track infection 2 ,wrist joint pain 1 ,wrist joint stiffness 1;whilein the LCP group ,wound infection 2 ,wrist joint pain 2 .At 24 months after the treatments ,the wrists'Gart-land-Werley function scores showed that ,in the external fixation group ,excellent /good 28;whilein the LCP group ,excel-lent /good 28 .After statistical analysis ,The external fixation group and the LCP group was pointless to cast (P>0.05) .Con-clusions The treatment of AO type C2 and C3 fractures of the distal radius with dynamic external fixation combined with mini-mally invasive reset and bone grafting is an effective method .This method is simple ,less invasive .It can effectively correct the shortening deformity and angular deformity of the distal radius ,making an anatomical reduction of the distal radius fractures , and increasing the stability of the fractures .The treatment of AO type C2 and C3 fractures of the distal radius with locking com-pression plate is an effective method ,too .This surgery has a good reset effect ,and a high fixation strength .It can effectively avoid reset losing of the distal radius fractures ,and allowed early exercise of the wrist joint .In brief ,the treatment of AO type C2 and C3 fractures of the distal radius with dynamic external fixation combined with minimally invasive reset and bone grafting and locking compression plate both have high scores on X -ray measurement data and w rist joint function ,and less surgical complications .In clinical application ,we can select one of them flexibly according to the specific circumstances .关键词
动力型外固定支架/微创复位/植骨/锁定加压钢板/桡骨远端AO分型C型骨折Key words
Dynamic external fixation/Minimally invasive reset/Bone grafting/Locking compression plate/AO type C frac-ture of the distal radius分类
医药卫生
