老年桡骨远端C型骨折内、外固定的临床疗效分析

Clinical analysis of internal, external fixation in elderly type C fracture of the distal radius

目的探讨老年桡骨远端c型骨折采用内、外固定进行治疗的临床效果。方法选择2008年1月～2012年10月我院收治的老年桡骨远端c型骨折患者19例，其中11例行切开复位钢板内固定（I组），另8例采用外固定支架配合有限内固定（Ⅱ组），比较2组患者预后Dienst评分情况。结果术前、术后3个月进行掌倾角、尺偏角、桡骨缩短等测量，两组各指标差异无统计学意义（P〉0．05）。根据Dienst评分标准，I组优6例，良3例，中1例，差1例，优良率为81．8％；Ⅱ组优5例，良2例，中1例，优良率为87．5％。结论采取内、外固定治疗老年桡骨远端c型骨折术后疗效并无明显差异，但临床应用时仍需根据各患者具体情况进行评估，采用合适治疗方法。

Objective To investigate the elderly of type C fractures of the distal part of the radius with internal and external fixation for treatment of clinical effect. Methods Choosing 2008 January to October 2012 of our hospital patients with senile of type C fractures of the distal part of the radius 19 eases, 11 of whom underwent open reduction and plate internal fixation （ I group）,the other 8 patients with external fixation support cooperate with limited internal fixation （ ]I group）,eomparing two groups patients prognosis Dienst grading. Results Preoperative and postoperative 3 months to return to Angle,foot Angle,radial shortening of measurement, various indicators similar between the two groups has no statistical significance （P 〉 0.05）. According to Dienst scoring criteria,group 6 cases,3 cases,1 cases,1 case,was 81.8%; lI group 5 cases, good in 2 cases,1 cases,was 87.5%. Conclusion Internal and external fixation treatment of elderly of type C fractures of the distal part of the radius postoperative curative effect and no obvious difference, but has to be according to each particular case patients clinical application evaluation, using appropriate treatment.