河北医学2017，Vol.23Issue(2)：197-200,4.DOI:10.3969/j.issn.1006-6233.2017.02.007
经掌侧入路锁定加压钢板固定术与非手术治疗老年桡骨远端骨折的疗效对比
Efficacy Comparison betwwen Locking Compression Plate Fixation from Volar Approach and Non-operation in Treatment of Distal Fracture of Radius in Elderly Patients
摘要
Abstract
Objective:To study the clinical efficacy of locking compression plate fixation from volar ap-proach vs. non-operation in treatment of distal fracture of radius in the old. Methods:Totally 71 old patients with distal fracture of radius were selected and divided into observation group ( 37 patients) and control group ( 34 patients) according to the wills of the patients. The observation group was treated with locking compres-sion plate fixation from volar approach, while the control group treated with manipulative reduction and plaster external fixation. The conditions of reduction and healing of the fracture were recorded, and the wrist joint functions evaluated by Cooney wrist joint scale. Results: The mean fracture healing times of the observation group and control group were (12.1±2.4) weeks and (14.8±3.2) weeks, respectively, and the difference was statistically significant ( P<0.05) . Before treatment, the two groups had insignificantly different palmar tilts, ulnar inclinations, and radial shortening lengths ( P>0.05);at 6 months after treatment, both groups had sig-nificantly improved palmar tilts, ulnar inclinations, and radial shortening lengths compared with those before treatment, but the observation group had significantly greater improving extents (P<0.05); the observation group had significantly better Cooney wrist joint scores than the control group, including pain, range of mo-tion, hand strength, inflexion/expansion activity and function (P<0.05); and the observation group had a significantly higher excellent rate of wrist joint function than the control group (94.6% vs. 76.5%, P<0.05). The two groups had insignificantly different incidences of postoperative complications ( P>0.05) . Conclusion:Locking compression plate fixation from volar approach in treatment of distal fracture of radius in the old has advantages of rapider fracture healing and better wrist joint function recovery. Volar locking compression plate fixation in the treatment of elderly patients with distal radius fracture has healing fast and wrist joint function recovery advantages.关键词
桡骨远端骨折/老年患者/锁定加压钢板/掌侧入路Key words
Distal fracture of radius/Old patient/Locking compression plate/Volar approach引用本文复制引用
王纯育,钟晓,罗健..经掌侧入路锁定加压钢板固定术与非手术治疗老年桡骨远端骨折的疗效对比[J].河北医学,2017,23(2):197-200,4.基金项目
四川省资阳市科技支撑计划项目,(编号:2014-021) （编号:2014-021）
