临床骨科杂志2024，Vol.27Issue(6)：824-828,5.DOI:10.3969/j.issn.1008-0287.2024.06.018
两种方法治疗老年桡骨远端C型骨折的疗效比较
Comparison effect of two methods for treatment of type C distal radius fractures in the elder-ly
摘要
Abstract
Objective To compare the efficacy of palmar universal locking plate internal fixation and manual reduc-tion small splint external fixation on the distal radius type C fracture of the elderly patients.Methods According to different treatment methods,72 elderly patients with distal radius type C fractures were divided into internal fixation group(36 cases were treated with palmar universal locking plate internal fixation)and external fixation group(36 ca-ses were treated with manual reduction small splint external fixation).Operation situation,imaging indexes,fracture healing time,wrist activity range and complication incidence rate were compared between the two groups,and function-al recovery was evaluated by wrist Cooney scoring system.Results All patients were followed up for 6～12 months.The volume of blood loss,hospital cost and hospital stay in the internal fixation group were more(longer)than those in the external fixation group(P＜0.01).Palmar inclination angle and ulnar deviation angle:They were improved after treatment compared with before treatment(P＜0.01),and internal fixation group was better than external fixation group after treatment(P＜0.01).Fracture healing time was shorter in internal fixation group than that in external fixa-tion group(P＜0.05).The complication incidence rate had no statistical significance between two groups(P＞0.05).At 6 months postoperation,the palmar flexion,dorsiflexion range and Cooney score of the wrist joint in the internal fix-ation group were better than those in the external fixation group(P＜0.05).Conclusions Both palmar universal loc-king plate internal fixation and manual reduction small splint external fixation are effective methods for the treatment of distal radius type C fracture in elderly patients.Although palmar universal locking plate internal fixation has greater trauma,longer hospital stay and higher cost,it is more beneficial to fracture healing and wrist functional recovery.关键词
万向锁定钢板/外固定/桡骨远端骨折/老年人Key words
universal locking plate/external fixation/distal radius fractures/aged分类
医药卫生引用本文复制引用
王洪凯,桂甜,毛鹏,陈勇,陈懿,戴厚杰..两种方法治疗老年桡骨远端C型骨折的疗效比较[J].临床骨科杂志,2024,27(6):824-828,5.基金项目
国家自然科学基金(编号:81960172) （编号:81960172）
广西自然科学基金(编号:2020GXNSFAA238014) （编号:2020GXNSFAA238014）
广西卫健委自筹经费项目(编号:Z20210570) （编号:Z20210570）
