切开复位治疗舟骨骨折伴月骨脱位的效果分析

Analysis of the effect of open reduction in the treatment of scaphoid fractures with lunate dislocation

目的对舟骨骨折伴月骨脱位进行切开复位治疗,并观察其疗效。方法选择我院2014年6月~2016年3月收治的50例舟骨骨折伴月骨脱位患者作为研究对象,按照患者的入院顺序将其分为对照组和实验组,每组25例,所有舟骨骨折均非病理性骨折。对照组患者采用闭合复位法对其进行治疗,实验组采用切开复位配合内固定方式进行治疗,观察两组患者的恢复情况,比较其疗效。结果对患者的恢复情况采用Cooney评分标准进行评分,实验组疗效优良率为88.00%,对照组为76.00%,实验组明显高于对照组(P<0.05)。实验组的并发症发生率为0,明显低于对照组的20.00%(P<0.05)。结论切开复位手术能够对舟骨骨折伴月骨脱位起到较好的疗效,加入内固定可牢固固定骨折,减少缺血性坏死,促进骨折愈合。

Objective To perform open reduction therapy on the scaphoid fracture with lunate dislocation,and to observe the efficacy.Methods 50 patients with scaphoid fracture and lunate dislocation from June 2014 to March 2016 in our hospital were selected. The patients were divided into control group and experimental group according to the order of admission,with 25 cases in each group.The seaphoid fractures of all the patients were not pathological fracture. The patients in the control group were treated with closed reduction method. The experimental group was treated with open reduction and internal fixation. The recovery of the two groups was observed and the curative effect between the two groups was compared. Results The Cooney score was used to evaluate the recovery condition of the patients. The excellent rate of the experimental group was 88.00% ,significantly higher than that of the control group（76.00%）,and the dif- ference between the two groups was significant （P〈0.05）. The incidence of complications in the experimental group was 0, which was significantly lower than that in the control group （20.00%）,and there was a significant difference between two groups（P〈0.05）. Conclusion Open reduction surgery can make a good curative effect on scaphoid fracture combined with lunate dislocation. Adding internal fixation can fix fracture firmly and reduce ischemic necrosis, thus pro- moting fracture healing.