MFB理念在复杂性桡骨远端骨折中的应用研究

Application of MFB Concept in the Treatment of Complex Distal Radius Fracture

目的 探讨主要问题骨(MFB)理念在复杂性桡骨远端骨折中的应用效果。方法 选取2018年11月至2020年11月长沙医学院附属株洲市人民医院收治的32例复杂性桡骨远端骨折患者作为研究对象,应用MFB理念指导切开复位内固定的手术入路、内固定物固定位置及固定方式,观察骨折愈合时间以及腕关节功能恢复情况。结果 32例患者术后骨折部位均一期愈合,愈合时间为(8.93±1.25)个月;随访10个月,腕关节功能恢复为优者28例、良者2例、可者2例,优良率为93.75%,且均未出现骨折断端骨吸收等并发症。结论MFB理念可指导复杂性桡骨远端骨折的手术入路、内固定物固定位置及固定方式的选择,有利于腕关节功能的恢复,且并发症少,值得临床推广应用。

Objective To explore the effect of main fractured bone(MFB) concept in the treatment of complex distal radius fracture.Methods Thirty-two patients with complex distal radius fractures,admitted to Zhuzhou People’s Hospital Affiliated to Changsha Medical University from November 2018 to November 2020,were enrolled as research subjects.Under the guidance of MFB concept,surgical approach for internal fixation was chosen,location of fixator and way of fixation were determined.Fracture healing time and functional recovery of wrist joint were observed.Results Primary healing was achieved in the 32 patients and the healing time was(8.93±1.25) months.During the 10-month follow-up,the functional recovery of wrist joint was evaluated as excellent in 28 cases,good in 2 cases and fair in 2 cases,and the excellent and good rate was 93.75%.No complications,such as bone resorption at broken end,were observed.Conclusion MFB concept can offer guidance in choosing surgical approach,location of fixator and way of internal fixation for complex distal radius fracture,and is conducive to the functional recovery of wrist joint,with seldom occurrence of complications,deserving to be promoted in clinical practice.