不同年龄尺桡骨骨折治疗方法选择与疗效分析

Different age groups double radius and ulna fracture treatment options and efficacy analysis

目的：探讨分析运用闭合手法复位夹板固定、闭合复位经皮克氏针内固定、切开复位钢板内固定治疗尺桡骨双骨折的疗效。方法：选取我院于2006年6月～2011年7月收治的192例闭合性尺桡骨骨折患者，儿童组102例，76例运用闭合复位小夹板外固定治疗，26例运用闭合复位经皮克氏针内固定治疗，成人组90例随机分成3组，分别运用闭合复位小夹板固定、闭合复位经皮克氏针内固定及切开复位钢板内固定治疗。结果：192例患者均获得随访，随访时间3～12个月，采用Berton评定标准对治疗效果进行评价，经统计学处理，儿童组应用夹板外固定与经皮克氏针内固定治疗疗效无明显差异，成人组应用经皮克氏针固定或钢板内固定治疗疗效优于闭合复位夹板外固定治疗。结论：儿童尺桡骨双骨折治疗上首选闭合复位夹板外固定治疗，对于复位后不稳定的斜形骨折可选择经皮克氏针内固定治疗，成人尺桡骨双骨折经皮克氏针及切开复位钢板内固定治疗优于闭合复位夹板固定治疗。

Objective：To analyse the effect of closed reduction and splint fixation , closed reduction and percutaneous Kirschner wire＆amp;nbsp;fixation, open reduction and plate fixation of double radius and ulna fractures .Methods：Select the hospital in June 2006 July 2011 admit-ted 192 cases of closed fractures of the radius and ulna in patients , children group 102 cases, 76 cases of the use of closed reduction and external fixation splint , 26 cases of the use of closed reduction and percutaneous Kirschner wire fixation , adult group 90 patients were ran-domly divided into three groups , the use of closed reduction and splintage , closed reduction and percutaneous Kirschner wire fixation and open reduction and plate fixation .Results：192 patients were followed up from March to December , with Berton evaluation criteria to evalu-ate the effect of treatment , the statistical treatment , children＆#39;s group applied splints and percutaneous Kirschner wire fixation was no signif-icant difference in efficacy adult group of percutaneous pinning or internal fixation therapy is superior to closed reduction and external fixa -tion splint .Conclusion：Radius and ulna fractures in children , dual-choice for the treatment of closed reduction and splint external fixa-tion for unstable after a reset option oblique fracture fixation of percutaneous Kirschner wire , double radius and ulna fractures in adults , percutaneous pinning and open reduction and plate superior to closed reduction and internal fixation splint therapy .