临床骨科杂志2018，Vol.21Issue(1)：82-85,4.DOI:10.3969/j.issn.1008-0287.2018.01.033
锁定加压钢板联合外固定架与单纯锁定加压钢板治疗C型桡骨远端骨折的疗效比较
Comparison outcomes of type C distal radius fractures treated with locking compression plate combined with external fixator and single locking compression plate
摘要
Abstract
Objective To compare the outcomes of type C distal radius fractures treated with locking compression plate (LCP) combined with external fixator and single LCP. Methods The 60 patients with type C distal radius fractures who underwent surgery, according to different operation methods, were divided into LCP internal fixation combined with external fixator group (Combined group, 30 patients) and single LCP internal fixation group (LCP group,30 patients). The clinical results were assessed and compared base on operation-related situations,radiologi-cal assessments,range of wrist activity,VAS,Gartland-Werley wrist score. Results The operation duration of com-bined group was longer than the time of LCP group, but no significant difference was found between the two groups (P>0.05). All patients were followed up for 24~36 months. The recoveries of the radial tilt angle,radial inclina-tion angle and radial height of the combined group were better than the ones of LCP group at 3 d,6 weeks and 24 months after operation,and the differences were statistically significant (P<0.05). No significant differences were found in ranges of wrist palmar flexion and dorsiflexion between the two groups at 24 months after operation (P>0.05). The VAS,Gartland-Werley wrist score of Combined group were all better than the ones of LCP group,but no significant differences were found between the two groups(P>0.05). Conclusions Two kinds of methods can ob-tain similar satisfactory clinical outcome in treating type C distal radius fractures. But the radiological assessments in-cluding radial tilt angle,radial inclination angle and radial height of operation with LCP combined with external fixator are better than the ones of operation with simple LCP.关键词
锁定加压钢板/外固定架/桡骨远端骨折Key words
locking compression plate/external fixator/distal radius fractures分类
医药卫生引用本文复制引用
黎俊豪,郑伟坤,蔡维山..锁定加压钢板联合外固定架与单纯锁定加压钢板治疗C型桡骨远端骨折的疗效比较[J].临床骨科杂志,2018,21(1):82-85,4.基金项目
广州市医药卫生科技项目(编号:20151A010021) （编号:20151A010021）
