锁定钢板治疗桡骨远端不稳定骨折的疗效分析

Therapeutic Effect of Unstable Fracture of Distal Radius with Locking Plate

目的观察锁定钢板和解剖钢板治疗桡骨远端不稳定骨折的临床疗效。方法选取2010年1月-2011年9月在医院治疗桡骨远端不稳定骨折的患者70例,随机分为锁定钢板组合解剖钢板组,各35例。观察两组的术中出血量,手术时间,住院时间,骨折愈合时间和术后疗效。结果锁定钢板组的优良率为94.29%,而解剖钢板组的优良率为74.29%,锁定钢板组明显优于解剖钢板组,差异有统计学意义(P<0.05)。锁定钢板组的骨折愈合时间明显少于解剖钢板组(P<0.05),而术中失血量、手术时间和住院时间两组差异无统计学意义(P>0.05)。结论锁定钢板内固定治疗桡骨远端不稳定骨折疗效显著,术后恢复快,是一种较为理想的术式。

Objective To observe the clinical efficacy of unstable fracture of distal radius with locking plate and anatomical plate internal fixation. Methods 70 patients with unstable fracture of distal radius from January 2010 to September 2011 ,in our hospital, were randomly divided into locking plate group and anatomical plate group, each group had 35 cases. The intraoperative blood loss, operative time, hospital stay, time of fracture healing and postoperative efficacy were observed. Results The good-well rate was 94.29% in locking plate group, and 74.29% in anatomical plate group, the efficacy of locking plate group was signifi- cantly better than the anatomical plate group, the difference was statistically significant （ P 〈 0.05 ）. The fracture healing time in locking plate group was significantly less than that in anatomical plate group （ P 〈 0.05 ）, the intraoperative blood loss, operative time and hospital stay were not statistically significant between the two groups （ P 〉 0.05 ）. Conclusion The effect of unstable fracture of distal radius with locking plate internal fixation was obivous, it＇ s postoperative recovery was rapid and it was an ideal modus operandi.