闭合复位外支架固定与切开复位内固定在桡骨远端骨折治疗中的应用

Application of Closed Reduction External Stent Fixation and Open Reduction and Internal Fixation in the Treatment of Distal Radius Fracture

目的探究闭合复位外支架固定与切开复位内固定在桡骨远端骨折治疗中的应用效果。方法选取2018年1月—2019年3月该院骨科收治的116例桡骨远端骨折患者为研究对象,采用随机分组的方法将其分为对照组和观察组,每组58例桡骨远端骨折患者,其中对照组采用切开复位的内固定方案,观察组患者实施闭合复位外支架固定,对两组桡骨远端骨折患者的治疗情况,桡骨远端骨折复位情况和术后并发症发病率进行比较。结果观察组桡骨远端骨折患者实施闭合复位外支架固定后,治疗情况和骨折复位情况均好于对照组患者,且并发症发病率为3.45%,远低于对照组的15.52%,两组数据差异有统计学意义(χ^2=4.618,P=0.022)。结论通过对桡骨远端骨折患者进行闭合复位外支架固定治疗,可以明显提高临床治疗效果,值得在广大医院中进行临床推广。

Objective To investigate the effect of closed reduction and external fixation and open reduction and internal fixation in the treatment of distal radius fractures.Methods A total of 116 patients with distal radius fractures admitted to the department from January 2018 to March 2019 were enrolled in the study.They were randomly divided into control group and observation group.58 cases of distal radius fractures in each group.The control group was treated with open reduction and internal fixation,the patients in the observation group were treated with closed reduction and external fixation.The treatment of patients with distal radius fractures,the reduction of distal radius fractures and the incidence of postoperative complications were performed and compared.Results In the observation group,patients with distal radius fractures were treated with closed reduction and external fixation.The treatment and fracture reduction were better than those in the control group,and the incidence of complications was 3.45%,which was much lower than that of the control group 15.52%,the difference between the two groups of data was significant and statistically significant(χ^2=4.618,P=0.022).Conclusion Closed reduction and external stent fixation for patients with distal radius fractures can significantly improve the clinical treatment effect,which is worthy of clinical promotion in hospitals.