可吸收螺钉治疗Barton骨折临床分析

Clinical analysis of absorbable screws in the treatment of Barton fracture

目的探讨可吸收螺钉治疗Barton骨折的临床疗效。方法 2007年7月至2013年12月采用切开复位吸收螺钉固定治疗Barton骨折患者34例,采用GUNZE公司提供的Grand Fix刚子聚左旋乳酸(PLLA)拉力螺钉,术后石膏托固定4周。结果所有患者均骨性愈合,无医源性的血管神经损伤,骨折愈合后患肢掌倾、尺偏及桡骨远端相对长度较术前明显改善,疗效评估按照Sarmiento评分标准进行评分,优良率为91.1%。结论只要严格掌握其适应证,操作得当,可吸收螺钉在固定桡骨远端关节内骨折(Barton骨折)是一种可靠、安全的生物材料。

Objective To study the clinical curative effect of absorbable screws on Barton fractures. Methods From July 2007 to December 2013, absorption screws provided by GUNZE company were used for the treatment of 34 cases of Barton fracture, within 4 weeks after surgery plaster fixed wrist joints. Results All patients with fracture healing, no fracture, no iatrogenic vascu- lar nerve injury, healing limb palmar tilt, distal radius ulnar deviation and relative length compared with preoperative all signifi- cantly improved. According to the Sarmiento rating criteria, the excellent and good rate was 91.1%. Conclusion As long as strictly grasp the indications, operation is proper, absorbable screw is a reliable, safe and biological materials in the treatment of fracture.