外固定支架与锁定钢板内固定治疗桡骨远端C型骨折对比观察

目的探讨外固定支架与锁定钢板内固定治疗桡骨远端C型骨折临床疗效及安全性差异。方法研究对象选取桡骨远端C型骨折患者80例,以随机数字表法分为A组和B组,各40例,分别采用掌侧锁定加压钢板内固定和外固定支架治疗;比较2组患者Cooney腕关节评分优良率,随访尺偏角、掌倾角、桡骨高度及术后并发症发生率等。结果 B组患者Cooney腕关节功能优良率显著高于A组(P<0.05);B组患者随访尺偏角、掌倾角及桡骨高度均显著高于A组(P<0.05);同时2组患者术后并发症发生率比较差异无统计学意义。结论外固定支架治疗桡骨远端C型骨折能够显著改善术后腕关节功能,提高关节活动度,且未诱发严重术后并发症出现,疗效优于锁定钢板内固定。

ObjectiveExternal ifxator and locking plate internal ifxation for the treatment of distal radius type C fractures of the clinical efifcacy and safety.Methods80 cases of patients with random number table method is divided into group A （40 cases） and group B （40 cases）, spectively using volar locking compression plate internal ifxation and external ifxation support treatment; Cooney wrist score is compare two groups of patients, follow-up of ulnar inclination angle and palm, radial height and incidence of postoperative complications, etc.ResultsGroup B patients Cooney wrist joint function was signiifcantly higher than that of group A （P〈0.05）; group B patients were followed up for ulnar inclination angle and palm and radial height were signiifcantly higher than that of group A （P〈0.05）; at the same time two groups of patients with postoperative complications compared differences no statistical signiifcance.ConclusionC type external ifxator for the treatment of distal radius fractures can signiifcantly improve the postoperative function of wrist joint, increase of motion, and did not induce serious postoperative complications, curative effect is superior to the locking plate internal ifxation.