带袢钢板及空心螺钉固定术对下尺桡关节脱位早期患者的治疗效果对比

Comparison of the efficacy of loop plate and hollow screw fixation on the early treatment of lower radioulnar joint dislocation

目的:分析带袢钢板、空心螺钉固定对下尺桡关节脱位早期患者的治疗效果。方法:回顾性分析2018年5月到2021年5月收治的96例下尺桡关节脱位早期患者,根据不同术式将其分成两组,对照组采用空心螺钉固定术,观察组采用带袢钢板固定术,各48例。评价术后疗效,对比术前、术后2 m的Cooney腕关节评分、术后2 m的患肢与健侧腕关节主动活动度及术后并发症。结果:观察组治疗优良率高于对照组,但比较无显著差异(P>0.05);观察组Cooney腕关节评分、患侧屈伸活动度与旋前旋后活动度均高于对照组(P<0.05);观察组Gartland-Werley腕关节功能评分低于对照组(P<0.05);两组患者均未出现脱位复发、切口感染等并发症。结论:予以下尺桡关节脱位早期患者带袢钢板固定术可获得显著疗效,恢复腕关节功能,提高腕关节屈伸活动度和旋前旋后活动度。

Objective:To analyze the effect of loop plate and hollow screw fixation in early patients with lower ulnar radial joint dislocation.Methods:A retrospective analysis was conducted to select 96 patients with early dislocation of the lower ulnar radial joint from May 2018 to May 2021,and they were divided into two groups according to different surgical methods.The control group was treated with hollow screw fixation;The observation group was treated with loop plate fixation,48 cases each.The postoperative efficacy was evaluated by comparing the Cooney wrist score before and 2 months after surgery,the active range of motion of the affected and healthy wrist joints,and postoperative complications 2 months after surgery.Results:The excellent and good rate of treatment in the observation group was higher than that in the control group,but there was no difference in comparison(P>0.05);The Cooney wrist joint score,flexion and extension activity,and pronation and supination activity of the affected side in the observation group were higher than those in the control group(P<0.05);The Gartland Werley wrist function score in the observation group was lower than that in the control group(P<0.05);There were no complications such as recurrence of dislocation and incision infection in both groups.Conclusion:The treatment of early dislocation of the ulnar radial joint with loop plate fixation can achieve significant results,restore wrist function,improve wrist flexion and extension range of motion,and pronation and supination range of motion,which is worth recommending.