万向掌侧锁定板治疗桡骨远端骨折的效果

Effect of universal palmar locking plate in treatment of distal radius fractures

目的:探讨万向掌侧锁定板治疗桡骨远端骨折的临床效果。方法:选取98例桡骨远端骨折患者为研究对象,依据患者入院单双号分为观察组和对照组各49例。对照组予外固定支架治疗,观察组予万向掌侧锁定板治疗,比较两组临床疗效,腕关节评分(活动范围、功能、疼痛、握力),生命质量及并发症发生率。结果:观察组优良率为95.92%,高于对照组的81.63%,差异有统计学意义(P<0.05);观察组活动范围、功能、疼痛、握力方面评分均高于对照组,差异有统计学意义(P<0.05);观察组精神状况、生理功能、躯体疼痛、情感状况方面评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:万向掌侧锁定板治疗桡骨远端骨折的效果更佳,术后腕关节功能较好,可有效促进患者康复。

Objective: To explore clinical effects of universal palmar locking plate in treatment of distal radius fractures. Methods: 98 patients with distal radius fractures were selected as the research subjects, and were divided into observation group(n=49) and control group(n=49) according to the odd or even number of admission numbers. The control group was treated with external fixator, while the observation group was treated with the universal palmar locking plate. The clinical efficacy, wrist score(range of motion, function, pain, grip strength), quality of life, and incidence of complications were compared between the two groups. Results: The excellent and good rate was 95.92% in the observation group, which was higher than 81.63% in the control group, and the difference was statistically significant(P<0.05). The scores of the range of motion, function, pain, and grip strength in the observation group were higher than those of the control group, and the differences were statistically significant(P<0.05). The scores of mental status, physiological function, physical pain, and emotional status in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusions: The universal palmar locking plate is more effective in the treatment of distal radius fractures, and can effectively promote the patient recovery with better wrist function.