中国临床保健杂志2024，Vol.27Issue(3)：398-401,4.DOI:10.3969/J.issn.1672-6790.2024.03.026
老年桡骨远端骨折患者经掌侧入路钢板内固定术后复位丢失情况及危险因素分析
Status and risk factors of reduction loss in elderly patients with distal radius fractures after plate internal fixation through a palmar approach
范斌 1董辉辉 1李永恒 1韩健 1梁志强1
作者信息
- 1. 咸阳市第一人民医院创伤骨科,咸阳 712000
- 折叠
摘要
Abstract
Objective To analyze the status and risk factors of reduction loss in elderly patients with distal ra-dius fractures after plate internal fixation through a palmar approach.Methods Retrospective analysis of medical re-cords of 80 elderly patients with distal radius fractures admitted to Xianyang First People's Hospital from January 2018 to December 2022.The patients were grouped based on whether there was reduction loss after operation.Univariate analysis and multivariate logistic regression analysis were conducted to identify the influencing factors of postoperative reduction loss.Results Among the 80 elderly patients with distal radius fractures,there were 24(30.00％)patients with postop-erative reduction loss and 56(70.00％)patients without.There were statistically significant differences between the two groups in terms of age,AO classification of fracture,time from fracture to operation,osteoporosis status,distance from dis-tal radius to distal screw,and start time of postoperative exercise(P＜0.05).Multivariate logistic regression analysis showed that age,AO classification of fracture,time from fracture to operation,osteoporosis,and distance from distal radi-us to distal screw were influencing factors of reduction loss in elderly patients with distal radius fractures after plate in-ternal fixation through a palmar approach(P＜0.05).Conclusions The incidence of reduction loss is relatively higher in elderly patients with distal radius fractures who have undergone plate internal fixation through a palmar approach.Age,AO classification of fracture,time from fracture to operation,osteoporosis,and distance from distal radius to distal screw are influencing factors of reduction loss.关键词
桡骨骨折/骨折固定术,内/治疗结果/危险因素/老年人Key words
Radius fractures/Fracture fixation,internal/Treatment outcome/Risk factors/Aged引用本文复制引用
范斌,董辉辉,李永恒,韩健,梁志强..老年桡骨远端骨折患者经掌侧入路钢板内固定术后复位丢失情况及危险因素分析[J].中国临床保健杂志,2024,27(3):398-401,4.
