万向双柱锁定接骨板在外伤性桡骨远端C型骨折中的应用价值

A Clinical Efficacy Analysis of Traumatic Type C Distal Radius Fractures Treated by Double Column Universal Volar Locking Compression Plates

【目的】探讨万向双柱锁定接骨板在外伤性桡骨远端C型骨折中的应用价值。【方法】收集2012年6月到2016年4月96例外伤性桡骨远端C型（AO分型）闭合性骨折患者，其中C1型38例，C2型39例，c3型19例，采用掌侧万向双柱锁定接骨板内固定治疗，采用影像学测量相关参数及Gartland—Werley腕关节评分评估手术效果。【结果】所有患者均骨性愈合，随访21．36（9～36）个月；掌倾角、尺偏角、桡骨短缩均获得明显改善，术后功能优良率为87．5％（84／96）；术后并发症腕部疼痛压痛者10例，手指屈伸受限5例，骨性关节炎4例，屈肌腱粘连2例；未见内固定失败、肌腱断裂、神经损伤。【结论】采用万向双柱锁定接骨板治疗外伤性桡骨远端c型骨折，可较好的恢复桡骨高度，固定牢靠，并发症少，术后功能恢复满意。

[Objective]To investigate the application of Double Column Universal Volar Locking Compression Plates in the treatment of traumatic type C fractures of the distal radius. [MethodslFrom June 2012 to April 2016, 96 patients with traumatic type C （AO type） and closed fractures of the distal radius were studied. The total selected study subjects included 38 cases of sub-type C1, 39 cases of sub-type C2 and 19 cases of sub type C3. All type C fractures of the distal radius were treated with Double Column Universal Volar Locking Compression Plates. The parameters were measured with imaging, and the Gartland-Werley Wrist Score was used to assess the operative effect. [Results]All of the patients healed during the follow-up period of 9 - 36 months （mean 21.36 months）. Compared to the status of pre-operation, the parameters of volar tilt angle, ul nar inclination angle and radial shortening - all improved significantly. The postoperative functional excellence rate was 87.5% （84/96）. Postoperative complications included 10 cases of wrist pain tenderness, 5 cases of finger flexion and extension restriction, 4 cases of osteoarthritis and 2 cases of flexor tendon adhesion. There were no internal fixation failures, tendon raptures or nerve injuries. [Conclusion]Using the Double Column Universal Volar Locking Compression Plates in treatment of type C distal radius fractures has bettered the height of radius, reinforced fixative effects, decreased instances of complications, and allows for successful postoperative functional recovery.