三种不同方法治疗老年性桡骨远端骨折的疗效分析

Analysis of Clinical Efficacy of Distal Radius Fracture Treated by Three Methods in Older Patients

目的:探讨3种不同方法治疗老年桡骨远端骨折的疗效。方法:自2006年11月～2010年11月,我院共收治60岁以上老年桡骨远端骨折149例,男性52例,女性97例;年龄60～81岁,平均71岁。采用手法复位石膏外固定56例,闭合复位经皮克氏针内固定75例,切开复位钢板内固定18例。因手法复位后再移位者改用闭合复位经皮克氏针内固定或切开复位钢板内固定9例。随访比较不同治疗方法的疗效。结果:所有患者随访时间12～24月(平均21月)。腕关节功能评价按Dienst标准进行评定:石膏外固定组的优良率为78.6%,闭合复位经皮克氏针内固定治疗组优良率为89.3%,切开复位钢板内固定治疗组优良率为89.9%。结论:对于老年桡骨远端骨折的治疗,闭合复位经皮克氏针内固定和切开复位钢板内固定的疗效均优于手法复位、石膏外固定。

Objective： To analysis of clinical efficacy of distal radius fracture treated by three methods in older patients.Methods：149 senile patients with distal radial fracture were treated from November 2006 to November 2010 in our department.56 cases were treated with manual reduction and plaster immobilization;75 cases were treated with percutaneous pinning and plaster immobilization;18 cases were treated with plate internal fixation.Results：The average follow-up time was 21 months（from 12 to 24 months）.The excellent rate was 78.6% in the manual reduction group;the excellent rate was 89.3% in the percutaneous pinning and plaster immobilization group;and the excellent rate was 89.9% in the plate internal fixation group,according to Dienst criteria.Conclusions： There were more satisfactory effects in the percutaneous pinning and plaster immobilization group or plate internal fixation group than that in the manual reduction and plaster immobilization group.