普通钢板与锁定钢板治疗桡骨远端C型骨折的疗效比较

Efficacy of common plate versus locking plate for treating C-type fracture of distal radius

目的比较普通钢板与锁定钢板治疗桡骨远端C型骨折的临床疗效。方法选取桡骨远端骨折患者64例,随机分为锁定钢板组33例,普通钢板组31例,比较手术完成时、术后6个月2组掌倾角、尺偏角、桡骨远端高度及Gartland-Werley腕关节功能评分。结果 2组完成手术时,X线参数比较无统计学意义(P>0.05);64例均获得6个月随访,X线片复查显示,2组掌倾角、尺偏角、桡骨高度差异具有统计学意义(P<0.05);末次随访时Gartland-Werley腕关节功能评分,锁定钢板组评分优于普通钢板组(P<0.05)。结论锁定钢板治疗桡骨远端C型骨折的疗效优于普通钢板,是治疗桡骨远端C型骨折的有效方法之一,值得临床推广。

Objective To compare clinical effects of common plate with locking plate for treating C- type fracture of distal radius. Methods A total of 64 patients with fracture of distal ra- dius were selected and randomly divided into locking plate group （33 cases） and common plate group （31 cases）. The palm tilt, ulnar inclination, the height of distal radius and Gartland- Werley wrist joint function score were compared at the time the operation was done and 6 months postoperatively. Results There was no significant difference in X- ray parameter between 2 groups at the time the operation was done （P 〉0.05）. All patients were followed up for 6 months, and the X- ray reex- amination showed that there were significant significances in palm tilt, ulnar inclination, the height of distal radius between 2 groups （P 〈 0.05）. Gartland - Werley wrist joint function score at the fi- nal follow - up in locking plate group was superior to common plate group （P 〈 0.05 ）. Conclusion Locking plate, which is superior to common plate in efficacy, is an effective approach for treating C- type fracture of distal radius, deserving clinical expansion.