腕关节外固定支架与锁定加压钛板治疗桡骨远端C型骨折的疗效对比

Comparison of therapeutic effects between wrist external fixation bracket and locking compression titanium plate in the treatment of C-type fractures of the distal radius

目的对比腕关节外固定支架与锁定加压钛板(Locking compression plate,LCP)治疗桡骨远端C型骨折的临床疗效。方法回顾性选取济宁市第二人民医院2019年6月-2020年6月收治的122例桡骨远端C型骨折患者作为研究对象,将其中2019年12月前收治的61例作为对照组(n=61),采用腕关节外固定支架治疗,将2020年1月后收治的61例作为观察组(n=61),采用LCP治疗。比较两组临床指标(手术时间、术中出血量、住院时间、骨折愈合时间)、术后影像学指标(尺偏角、掌倾角、桡骨高度、背伸、掌屈活动度)、腕关节恢复效果。结果两组手术时间比较差异不具有统计学意义(P>0.05)。观察组住院时间、骨折愈合时间均短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。观察组尺偏角、掌倾角、桡骨高度及背伸、掌屈活动度、关节面塌陷程度以及折块再移位率与对照组比较,差异不具有统计学意义(P>0.05)。观察组关节功能恢复优良60例(98.36%)与对照组58例(95.08%)比较,差异不具有统计学意义(P>0.05)。结论腕关节外固定支架与LCP治疗桡骨远端C型骨折均能取得良好的治疗效果,但相较于腕关节外固定支架治疗,LCP治疗具有一些优势,包括减少患者创伤、加快骨折愈合、缩短住院时间和节约治疗成本。因此,在选择治疗方法时应综合考虑患者的个体情况和医生的经验,以及其他因素,来确定最适合的治疗方案。

Objective To compare the clinical efficacy of wrist external fixation stent and locking compression plate(LCP)in the treatment of C-type fractures of the distal radius.Methods A retrospective study was conducted on 122 patients with distal radius C-type fractures at the Second People's Hospital of Jining City from June 2019 to June 2020.Patients with distal radius C-type fractures from June 2019 to December 2019 were selected as the control group(n=61)and treated with wrist external fixation brackets.Patients with distal radius C-type fractures from January 2020 to June 2020 were selected as the observation group(n=61)and treated with LCP.Compare clinical indicators(surgical time,intraoperative blood loss,hospital stay,fracture healing time),postoperative imaging indicators(ulnar deviation angle,palmar inclination angle,radius height,dorsiflexion,palmar flexion range of motion),and wrist joint recovery between two groups of patients.Results The difference in surgical time between the two groups of patients was not statistically significant(P>0.05).The hospitalization time and fracture healing time of the observation group patients were shorter than those of the control group,and the intraoperative bleeding was less than that of the control group,with statistical significance(P<0.05).There was no statistically significant difference(P>0.05)in the observation group compared to the control group in terms of ulnar deviation angle,palmar inclination angle,radius height and dorsiflexion,palmar flexion range of motion,degree of articular surface collapse,and rate of fragment re displacement.The excellent rate of joint function recovery in the observation group was 60 cases(98.36%),and compared with the control group of 58 cases(95.08%),the difference was not statistically significant(P>0.05).Conclusion Both wrist external fixation and LCP can achieve good therapeutic effects in the treatment of C-type fractures of the distal radius.However,compared to wrist external fixation,LCP treatment has some advantages,including reducing patient trauma,accelerating fracture healing,shortening hospitalization time,and saving treatment costs.Therefore,when selecting treatment methods,it is necessary to comprehensively consider the individual situation of the patient,the experience of the doctor,and other factors to determine the most suitable treatment plan.