桡骨远端不稳定骨折钢板内固定术掌侧与背侧切口的比较

The Comparison of Palm Side and Dorsal Incision in Fixation in Unstable Distal Radius Fracture Plate

目的:探讨掌侧与背侧切口两种不同手术入路钢板内固定治疗桡骨远端不稳定骨折的临床效果评价。方法:笔者所在医院骨科于2003年7月-2012年5月间共收治的桡骨远端不稳定骨折患者86例,行骨折切开复位钢板内固定术,按照手术入路不同分为掌侧和背侧切口。其中掌侧切口45例,背侧切口41例。结果:随访20周后患者在腕关节功能评分优良率方面比较差异无统计学意义;Lidstrom评分背侧入路组优于掌侧入路组,比较差异有统计学意义。结论:掌背侧不同手术入路均可为桡骨远端不稳定骨折提供有效复位,腕关节功能恢复良好。背侧入路钢板内固定术Lidstrom评分优于掌侧入路组。

@@@@Objective:To explore the evaluation of the clinical effect of palm side and dorsal incision in fixation in unstable distal radius fracture plate.Method:86 cases with unstable distal radial fracture in the department of orthopedics from July 2003 to May 2012 were treated in our hospital.They were taken open reduction and plate fixation.According to different surgical approaches,they were divided into volar and ulnar incision.The palm side of the incision was in 45 cases,and the dorsal incision was 41 cases.Result:After 20 weeks of follow-up,the wrist function score excellent rate was without statistical difference.The dorsal approach group was better than Lidstrom ratings the volar Road group,the difference was statistically significant. Conclusion:The different surgical approach dorsal metacarpal can provide effective reset for the unstable distal radial fractures,and it is with good functional recovery of the wrist.The Lidstrom score of dorsal approach plate fixation was better than volar Road group.