摘要
Abstract
Objective To investigate the clinical effect of surgical treatment for patients with traumatic instability of wrist joint.Methods 80 patients with traumatic instability of wrist joint admitted into our hospital from January,2013 to November,2014 were randomly divided into a control group and an experimental group.The control group were treated with manipulative reduction and plaster fixation and the experimental group with surgery.The scores of Jiranek and Gartland-Werley before and after the treatment,the overall therapeutic effect,and the stability of wrist joint were compared between these two groups.Results The Jiranek score were significantly higher and Gartland-Werley score was obviously lower in the experimental group than in the control group [(169.24 ± 25.28) vs.(136.04 ± 18.25) and (3.76 ±-2.03) vs.(10.36 ± 3.95)],with statistical differences (t=6.734,9.399,P＜0.01).The overall treatment effect was much better in the experimental group than in the control group,with a statistical difference (Z =-2.979,P＜0.01).6 and 12 months after discharging,the stability rates of wrist joint were 95％ and 80％ in the experimental group and were 65％ and 30％ in the control group,with statistical differences (x 2=11.250,2.202,P＜0.01).Conclusions Surgical treatment for patients with traumatic instability of wrist joint has a significant effect and is of reference.关键词
创伤性腕关节不稳定/手术治疗/腕关节功能/稳定性/治疗效果Key words
Traumatic instability of wrist joint/Surgical treatmetn/Wrist function/Stability/Treatment effect
