中国骨伤2025，Vol.38Issue(1)：25-30,6.DOI:10.12200/j.issn.1003-0034.20240505
单臂外固定架联合经皮穿针固定治疗老年C1型桡骨远端骨折的近期临床疗效
Short-term clinical efficacy of unilateral external fixator combined with percutaneous Kirschner wire fixation in the treatment of type C1 distal radius fractures in elderly patients
摘要
Abstract
ABSTRAC Obiective To investigate the short-term clinical effect of closed reduction single arm external fixator combined with percutaneous needle fixation in the treatment of C1 distal radius fracture in elderly patients.Methods Between December 2022 and December 2023,a total of 60 elderly patients diagnosed with type C1 distal radius fractures were treated,comprising 9 males and 51 females.The age ranged from 65 to 84 years old,with an average of(72.69±8.14)years old.Among them,there were 18 cases on the left side and 42 cases on the right side.There were 55 cases of falling injury and 5 cases of traffic accident injury.According to the different surgical methods,the patients were divided into observation group and control group,with 30 cases in each group.The control group underwent manual reduction and unilateral external fixator fixation,con-sisting of 4 males and 26 females.The mean age was(72.54±8.67)years old.The body mass index(BMI)was(20.61±2.17)kg·m-2.There were 10 cases on the left side and 20 cases on the right side.Among them,there were 27 cases of falling injury and 3 cases of traffic accident injury.The observation group was treated with manual reduction and unilateral external fixator combined with percutaneous Kirschner wire fixation,including 5 males and 25 females.The mean age was(72.76±7.23)years old.BMI(20.82±2.03)kg·m-2.The left side was involved in 8 cases and the right side in 22 cases.There were 28 cases of falling injury and 2 cases of traffic accident injury.The changes in radial height,ulnar declination,palmar inclination angle pa-rameters and patient-rated wrist evaluation(PRWE)were assessed on X-ray films before surgery,2 days after surgery,and 12 weeks after surgery between the two groups.Results All surgical procedures were successfully completed in both groups without any significant complications.All patients were followed up for a duration from 12 to 20 weeks with an average of(14.50±2.78)weeks.The two groups exhibited significant differences in radial height,palmar inclination angle,and ulnar deviation angle at 2 days and 12 weeks post-operation(P＜0.05).However,there was no statistically significant difference observed in radial height,palmar inclination,and ulnar deviation between the two groups at 2 days after the operation(P＞0.05).There were significant dif-ferences in radial height,palmar inclination angle,and ulnar deviation between the two groups at 12 weeks after operation(P＜0.05).At 2 days and 12 weeks after the operation,there were significant differences in PRWE scores of the two groups compared with preoperative scores(P＜0.05).At 2 days after the operation,there was no significant difference in PRWE score between the two groups(P＞0.05).The PRWE score showed a significant difference between the two groups at 12 weeks post-operation(P＜0.05).Conclusion The combination of closed reduction and unilateral external fixator,along with percutaneous pin fixation provides move stable fixation for type C1 distal radius fractures.Gradual removal of external fixator further facilitatse the recov-ery of wrist joint function.关键词
闭合复位/经皮穿针/单臂外固定架/老年桡骨远端骨折Key words
Closed reduction/Percutaneous Kirschner wire/Unilateral external fixator/Distal radius fracture in the elderly分类
医药卫生引用本文复制引用
沈润斌,李国梁,刘小平,陈康,韩广普,赵建勇..单臂外固定架联合经皮穿针固定治疗老年C1型桡骨远端骨折的近期临床疗效[J].中国骨伤,2025,38(1):25-30,6.基金项目
2024年度河北省医学科学研究课题计划(编号:20240655)2024 Medical Science Research Program of Hebei Province(No.20240655) （编号:20240655）
