闭式穿针小夹板外固定治疗不稳定尺桡骨骨折32例

Clinical Study of the Closed Kirschner and Splint External Fixation in the Treatmentof Unstable Ulnar and Radius Fracture

目的:探讨应用闭式穿针小夹板外固定治疗不稳定尺桡骨骨折的疗效与可行性。方法:62例患者采取随机分为对照组和治疗组进行对比研究,治疗组32例,采用手法复位闭式穿针小夹板外固定;对照组30例,采用切开复位钢板螺钉内固定。术后随访2～8个月,平均4个月,根据骨折复位、愈合情况、桡骨弧度及Anderson评分标准比较两组评分。结果:治疗组的骨折愈合时间明显早于对照组(P<0.05),两组比较差异有统计学意义。结论:手法复位闭式穿针内固定术治疗不稳定尺桡骨骨折,对软组织损伤小,感染率低,安全性高,无皮肤切口瘢痕,且可避免2次手术取内固定,减轻病人痛苦及经济负担,值得临床上推广应用。

Objective： To study the effects and feasibility of the closed Kirschner and splint external fixation in the treatment of unstable ulnar and radius fractures.Methods： Sixty-two cases were randomly divided into control group and treatment group for comparative study.32 cases in treatment group were treated with manipulative reduction close Kirschner and splint external fixation;30 cases in control group were treated with open reduction and plate-screw internal stabilization.The scores of two groups were compared according to the fracture reduction;the healing,radius radian and Anderson assessment criteria after patients were followed up 2 to 8 months,with the average of 4 months after operation.Conclusion： Manipulative reduction and closed Kirschner and splint internal fixation can treat unstable ulnar and radius fractures,with small injury for soft tissue,low-rate infection,high security and no skin incision scar,and it can avoid the second surgery to take the internal fixation,alleviate the suffering of patients and economic burden,worth clinical popularization and application.