闭合复位外支架固定与切开复位内固定在桡骨远端骨折治疗中的应用

Application of Closed Reduction External Stent Fixation and Incision Reduction Internal Fixation in Treatment of Fracture of Distal End of Radius

目的探讨闭合复位外支架固定与切开复位内固定在桡骨远端骨折治疗中的应用选择。方法选择该院2014年1月—2016年6月50例桡骨远端骨折患者,随机分为闭合组与切开,每组25例,闭合组患者采用闭合复位外支架固定,切开组给予切开复位内固定。比较2组患者骨折愈合情况、术后情况及生活质量评分。结果切开组骨折愈合有效率为96.00%,显著高于闭合组(80.00%)(P<0.05);2组患者各症状均有所好转,切开组患处疼痛得分(1.23±0.28)分,肢体弯曲得分(1.12±0.68)分,下地行走得分(1.04±0.90)分,闭合组患者处疼痛得分(2.34±0.56)分,肢体弯曲得分(2.09±0.42)分,下地行走得分(2.35±0.45)分,切开组恢复明显优于闭合组(P<0.05),护理后,切开组患者情感职能(76.55±12.54)分,精力(71.63±11.12)分,躯体疼痛(83.63±13.01)分,精神健康(72.96±11.62)分,生理职能(78.99±13.63)分,社会功能(86.63±12.39)分,生理功能(85.25±12.06)分,闭合组患者情感职能(63.54±12.86)分,精力(63.12±10.90)分,躯体疼痛(74.63±12.01)分,精神健康(67.65±10.63)分,生理职能(65.66±10.60)分,社会功能(77.98±11.65)分,生理功能(72.63±11.62)分,切开组患者生活质量评分明显高于闭合组(P<0.05)。结论闭合复位外支架固定与切开复位内固定技术均对桡骨远端骨折起到治疗作用,但切开复位内固定技术效果更佳,能显著加快患者骨折愈合速度,提高生活质量。

Objective To study the application of closed reduction external stent fixation and incision reduction internal fixation in treatment of fracture of distal end of radius. Methods 50 cases of patients with fracture of distal end of radius in our hospital from January 2014 to June 2016 were selected and randomly divided into two groups with 25 cases in each, the closure group adopted the closed reduction external stent fixation, while the incision group adopted the incision reduction internal fixation, and the fracture healing situation, postoperative situation and quality of life score of the two groups were compared. Results The effective rate of fracture healing in the incision group was obviously higher than that in the closure group（96.00% vs 80.00%）（P〈0.05）, and various symptoms of the two groups were improved and the pain score, limb curve score and walking score in the incision group were obviously better than those in the closure group[（1.23±0.28）points,（1.12±0.68）points,（1.04±0.90）points vs（2.34±0.56）points,（2.09±0.42）points,（2.35±0.45）points]（P〈0.05）, after nursing, the emotion function, energy, somatic pains, mental health, physical function, social function,physical function in the incision group were obviously higher than those in the closure group, [（76.55 ±12.54）points,（71.63±11.12）points,（83.63±13.01）points,（72.96±11.62）points,（78.99±13.63）points,（86.63±12.39）points,（85.25±12.06）points vs（63.54 ±12.86）points,（63.12 ±10.90）points,（74.63 ±12.01）points,（67.65 ±10.63）points,（65.66 ±10.60）points,（77.98±11.65）points,（72.63±11.62）points]（P〈0.05）. Conclusion Both closed reduction external stent fixation and incision reduction internal fixation can treat the fracture of distal end of radius, but the effect of the latter is better, which can obviously accelerate the fracture healing rate and improve the quality of life.