不同固定术式治疗C型桡骨远端骨折疗效对比

Comparison of different fixation methods in the treatment of distal radius fractures of type C

目的对比外固定术与内固定术治疗中青年C型桡骨远端骨折的疗效。方法 68例中青年C型桡骨远端骨折患者被随机分为外固定组和内固定组,各34例。外固定组采取外固定架骨折固定术,内固定组采取掌侧锁定加压钢板骨折内固定术。对比两组患者术后1年的骨折复位情况、腕关节功能和不良反应发生情况。结果外固定组尺偏角、桡骨高度、腕关节功能、活动范围、握力、屈曲评分以及总分均显著优于内固定组(P<0.05),两组不良反应发生情况比较差异无统计学意义(P> 0.05)。结论外固定术的患者腕关节功能和复位效果更优于内固定术,必要时根据实际情况做最优选择。

Objective To compare the effects of external fixation and internal fixation in the treatment of type C distal radius fractures in young and middle-aged patients.Methods 68 young and middle-aged patients with type C distal radius fractures were randomly divided into external fixation group and internal fixation group with 34 cases in each group.The external fixation group was treated with external fixator and the internal fixation group was treated with volar locking compression plate.The fracture reduction,wrist function and incidence of adverse reactions were compared between the two groups in 1 years after operation.Results The ulnar deviation angle,radius height,wrist function,range of motion,grip strength,flexion score and total score of the external fixation group were significantly better than those of the internal fixation group(P<0.05),and there was no significant difference in the occurrence of adverse reactions between the two groups(P >0.05).Conclusion External fixation is superior to internal fixation in wrist function and reduction,and the best choice should be made according to the actual situation.