微创经皮掌侧植入锁定钢板治疗桡骨远端骨折效果观察

Therapeutic effect of minimally invasive percutaneous volar locking plate in treatment of distal radius fracture

目的观察微创经皮掌侧植入锁定钢板治疗桡骨远端骨折的效果。方法选取天津市津南医院2017-01-2018-12间收治的82例桡骨远端骨折患者,随机分为2组,各41例。对照组应用外固定支架治疗,观察组使用微创经皮掌侧植入锁定钢板治疗。比较2组的疗效。结果 2组切口长度、手术时间、术中出血量及术后尺偏角、桡骨高度、VAS评分差异无统计学意义(P>0.05)。观察组术后掌倾角显著高于对照组,术后3个月的腕关节主动活动度、相对健侧握力、Mayo评分显著高于对照组,差异有统计学意义(P<0.05)。术后1 a,2组腕关节活动度、相对健侧握力及Mayo评分差异无统计学意义(P>0.05)。结论微创经皮掌侧植入锁定钢板治疗桡骨远端骨折的远期疗效与外固定支架疗效相当,但其更利于术后患者腕关节功能的早期恢复。

Objective To investigate the effect of minimally invasive percutaneous transluminal locking plate in the treatment of distal radius fractures.Methods Eighty-two patients with distal radius fracture were randomly divided into two groups(41 cases each). 82 patients with distal radius fracture were randomly divided into two groups. The control group was treated with external fixation stent, and the observation group was treated with minimally invasive transpalmally implanting locking plate. The curative effects of the two groups were compared.Results There was no significant difference in incision length, operation time, intraoperative bleeding volume, ulnar deviation angle, radius height and VAS score between the two groups(P>0.05). The postoperative palmar inclination angle of the observation group was significantly higher than that of the control group, and the active motion of the wrist joint at 3 months after operation, relative to the healthy lateral grip strength, Mayo score was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). There was no significant difference in wrist motion, relative contralateral grip strength and Mayo score(P>0.05).Conclusion The long-term effect of minimally invasive metacarpal implantation locking plate in treatment of distal radius fracture is similar to that of external fixation stent, but it is more beneficial to the early recovery of wrist function after operation.