尺骨茎突骨折内固定对桡骨远端骨折合并尺骨茎突骨折治疗结果的影响

The Efficacy of Internal Fixation for Ulnar Styloid Process Fractures on the Treatment Results of Distal Radius Fractures Combined with Ulnar Styloid Process Fractures

目的:探究尺骨茎突骨折内固定与否对桡骨远端骨折合并尺骨茎突骨折患者的治疗效果。方法:回顾性分析2020年1月至2022年1月收治的桡骨远端骨折合并尺骨茎突骨折患者90例,依据是否行尺骨茎突克氏针固定术分为两组,其中49例行尺骨茎突内固定治疗(A组),41例无尺骨茎突内固定治疗(B组),比较两组患者腕关节功能及影像学检测结果。结果:两组患者临床数据结果显示,A组患者骨折愈合所需时间平均为(11.88±1.28)周,B组患者骨折愈合所需时间平均为(12.08±1.36)周,差异无统计学意义(t=0.718,P=0.450);A组患者恢复优良率为95.92%,B组患者恢复优良率为92.68%,差异无统计学意义(P>0.05)。两组患者腕关节影像学检查结果比较差异无统计学意义(P>0.05)。两组患者上肢从事活动、临床症状、活动能力及臂肩手功能障碍(DASH)量表总评分比较差异无统计学意义(P>0.05)。两组患者健侧、患侧腕关节影像学检查结果比较差异无统计学意义(P>0.05)。A组有2例尺侧旋转疼痛(2/49,4.08%),B组有5例尺侧旋转疼痛(5/41,12.20%),差异无统计学意义(χ^(2)=1.193,P=0.275)。结论:桡骨远端骨折合并尺骨茎突骨折时,尺骨茎突骨折内固定与否不会影响桡骨远端骨折患者的愈合及腕关节功能。

Objective:To investigate the therapeutic efficacy of internal fixation of the ulnar styloid process on patients with distal radius fractures combined with ulnar styloid process fractures.Methods:90patients with distal radius fractures combined with ulnar styloid process fractures from January 2020to January 2022were analyzed retrospectively.They were divided into two groups based on whether they underwent ulnar styloid process Kirschner wire fixation surgery.Among them,49patients received ulnar styloid process internal fixation treatment(group A)and 41patients did not receive ulnar styloid process internal fixation treatment(group B).The wrist joint function and imaging results of the two groups of patients were compared.Results:Statistics and analysis of clinical data from two groups of patients showed that the average fracture recovery time of group A patients was(11.88±1.28)weeks,while the average fracture recovery time of group B patients was(12.08±1.36)weeks,with no statistically significant difference(t=0.718,P=0.450).The excellent and good recovery rate of group A fracture patients was 95.92%,while the excellent and good recovery rate of group B patients was 92.68%,with no statistically significant difference(P>0.05).There was no statistically significant difference in wrist joint imaging results between the two groups of patients(P>0.05).There was no statistically significant difference in upper limb activity,clinical symptoms,activity ability,and total disabilities of the arm,shoulder and hand(DASH)score between the two groups of patients(P>0.05).There was no statistically significant difference in the imaging examination results of the wrist joint between the healthy and affected sides of patients in group A and group B(P>0.05).Group A had 2cases of ulnar rotation pain(2/49,4.08%),there were 5cases of ulnar rotation pain in group B(5/41,12.20%),with no statistically significant difference(χ^(2)=1.193,P=0.275).Conclusion:When distal radius fracture combined with ulnar styloid process fracture,internal fixation of ulnar styloid process fracture does not affect the healing and wrist function of patients with distal radius fracture.