外固定支架与锁定加压钢板对桡骨远端复杂关节内骨折关节功能恢复的比较

Comparison of Joint Function Recovery Between External Fixator and Locking Compression Plate for Complex Intra-articular Fractures of Distal Radius

目的比较外固定支架与锁定加压钢板对桡骨远端复杂关节内骨折关节功能恢复的影响。方法选取2020年6月-2021年6月在我院诊治的84例桡骨远端复杂关节内骨折患者为研究对象,随机分为对照组和观察组,各42例。对照组采用锁定加压钢板治疗,观察组采用外固定支架治疗,比较两组骨折愈合优良率、临床手术指标、桡骨缩短距离、腕关节Gartland-Werley评分、并发症发生率。结果观察组骨折愈合优良率为95.24%,高于对照组的83.33%(P<0.05);观察组手术时间、术中出血量、愈合时间均短于对照组,桡骨缩短距离小于对照组(P<0.05);术后两组腕关节Gartland-Werley评分均低于术前,且观察组低于对照组(P<0.05);观察组并发症发生率为4.76%,低于对照组的16.67%(P<0.05)。结论外固定支架与锁定加压钢板治疗桡骨远端复杂关节内骨折均具有一定的效果,但是外固定支架治可提高治疗总有效率,缩短手术治疗,减少术中出血量,缩短愈合时间,减小桡骨缩短距离,提高腕关节功能评分,降低并发症发生率,对关节功能恢复具有显著的应用优势,值得临床加以应用。

Objective To compare the effect of external fixator and locking compression plate on joint function recovery of complex intra-articular fractures of distal radius.Methods A total of 84 patients with complex intra-articular fractures of distal radius treated in our hospital from June 2020 to June 2021 were randomly divided into control group and observation group,42 cases in each group.The control group was treated with locking compression plate,and the observation group was treated with external fixator.The excellent and good rate of fracture healing,clinical operation indexes,radial shortening distance,Gartland-Werley score of wrist joint and incidence of complications were compared between the two groups.Results The excellent and good rate of fracture healing in the observation group was 95.24%,which was higher than 83.33%in the control group(P<0.05).The operation time,intraoperative blood loss and healing time of the observation group were shorter than those of the control group,and the radial shortening distance was less than that of the control group(P<0.05).The Gartland-Werley scores of wrist joints in the two groups after operation were lower than those before operation,and those in the observation group were lower than those in the control group(P<0.05).The incidence of complications in the observation group was 4.76%,which was lower than 16.67%in the control group(P<0.05).Conclusion Both external fixation and locking compression plate have certain effects in the treatment of complex intra-articular fractures of the distal radius.However,external fixation can improve the total effective rate of treatment,shorten the surgical treatment,reduce intraoperative blood loss,shorten the healing time,reduce the radius shortening distance,improve the wrist function score,and reduce the incidence of complications.It has significant application advantages in the recovery of joint function,and is worthy of clinical application.