切开复位内固定治疗老年骨质疏松性桡骨远端骨折疗效观察

Clinical Observation of Open Reduction and Internal Fixation in the Treatment of Senile Osteoporotic Fracture of the Distal Radius

目的探讨切开复位内固定治疗老年骨质疏松性桡骨远端骨折的临床疗效及安全性。方法选取符合标准的患者60例,随机分为观察组和对照组各30例,对照组应用手法整复夹板外固定治疗,观察组采用切开复位内固定治疗,比较二者临床疗效。结果两组患者术后住院时间相似(P>0.05),但是观察组患者骨折愈合时间明显短于对照组(P<0.05)。观察组骨折愈合优良率为93.33%,明显高于对照组的70.00%。治疗前两组患者患者第1掌骨骨密度测量结果相似(P>0.05),治疗后6个月二者较治疗前均下降(P<0.05),但是观察组下降幅度较小(P<0.05)。结论切开复位内固定治疗老年骨质疏松性桡骨远端骨折有助于骨折愈合和腕关节功能恢复,不易引起废用性骨质疏松。

Objective To discuss the clinical efficacy and safety of open reduction and internal fixation in the treatment of senile osteoporotic fracture of the distal radius. Methods 60 patients were divided randomly into observation group （30 cases） and control group （30 cases） . The control group was treated with manipulation reduction and splint external fixation, the observation group was treated with open reduction and internal fixation, then operation efficacy was compared. Results The postoperative hospital stay in two groups was similar（P〉0.05）, but time of fracture union in the observation group was obviously shorter than the control group（P〈0.05）. The excellent rate of fracture healing quality in the observation group（93.33%） was higher than the control group（70.00%）. Before the treatment, the first metacarpal bone mineral density was similar in two groups, 6 months after treatment all of that decreased, and reduced of observation group by a small margin（P〈0.05）. Conclusion Open reduction and internal fixation in the treatment of senile osteoporotic fracture of the distal radius was beneficial to fracture healing and wrist joint function recovery, and harder for disuse osteoporosis.