外固定支架与内固定治疗桡骨远端骨折的临床疗效对比分析

A Comparative Analysis of the Clinical Effects of External Fixator and Internal Fixator in the Treatment of Distal Radius Fracture

目的:对比分析在桡骨远端骨折采用内固定与外固定支架进行治疗的临床治疗效果。方法:选取2017年6月至2018年6月我院收治的桡骨远端骨折病患80例,随机将其分为对照组和观察组,每组40例。给予观察组病患外固定支架进行治疗,给予对照组病患内固定进行治疗,对比两组病患的临床治疗效果。结果:两组病患治疗后三个月的掌倾角、桡骨缩短、尺偏角、桡骨高度、关节面台阶比较无明显差异(P>0.05);观察组病患治疗三个月后的腕关节旋后、桡偏、背伸、尺偏显著优于对照组(P<0.05),但两组病患的旋前、掌屈活动度比较无明显差异(P>0.05);观察组病患治疗后的第六周、第三个月的腕关节功能评分明显优于对照组(P<0.05)。结论:在桡骨远端骨折采用内固定与外固定支架均可获得较好的治疗效果,但外固定支架可有效回复病患的腕关节功能。

Objective:To compare and analyze the clinical effects of internal fixation and external fixator in the treatment of distal radius fracture.Methods:80 cases of distal radius fracture patients admitted to our hospital from June 2017 to June 2018 were selected and randomly divided into the control group and the observation group,40 cases in each group.The patients in the observation group were treated with external fixator and the patients in the control group were treated with internal fixator.The clinical effects of the two groups were compared.Results:There was no significant difference in palmar inclination,radius shortening,ulnar deviation,radius height and articular step between the two groups after three months of treatment(P>0.05);the wrist supination,radial deviation,dorsal extension and ulnar deviation in the observation group were significantly better than those in the control group after three months of treatment(P<0.05),but there was no significant difference in pronation and palmar flexion activity between the two groups(P>0.05).Wrist joint function score in the sixth week and the third month after treatment was significantly better than that in the control group(P<0.05).Conclusion:Internal fixation and external fixator are effective in the treatment of distal radius fracture,but external fixator can effectively restore wrist function.