关节镜辅助切开复位内固定手术在不稳定性桡骨远端骨折患者中的应用效果观察

Observation on the Clinical Treatment Effect of Arthroscopic Assisted Open Reduction and Internal Fixation Surgery in Patients with Unstable Distal Radius Fractures

目的探讨不稳定性桡骨远端骨折(DRF)采用关节镜辅助切开复位内固定手术治疗的临床效果。方法选取本院2020年11月—2022年11月收治的80例不稳定性DRF患者为研究对象,按随机数字表法将其分为对照组和试验组,各40例。对照组给予切开复位内固定(ORIF)治疗,试验组给予关节镜辅助切开复位内固定治疗。对比两组的临床疗效、腕关节功能及围术期相关指标。结果试验组治疗总有效率为95.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。术后3个月,试验组腕关节功能优于对照组,差异有统计学意义(P<0.05)。试验组术中出血量为(43.66±7.44)mL,少于对照组的(68.53±9.36)mL,住院时间(7.57±1.86)d、疼痛消失时间(15.57±3.23)d及骨折愈合时间(46.46±7.53)d均短于对照组的(12.25±2.48)d、(22.15±4.14)d、(51.68±6.74)d,组间差异有统计学意义(P<0.05)。结论不稳定性DRF患者应用关节镜辅助切开复位内固定术治疗相较于切开复位内固定术,可更为有效地改善患者的腕关节功能,且创伤小,术后恢复快。

Objective To explore the clinical effect of arthroscopic assisted open reduction and internal fixation surgery for unstable distal radius fractures(DRF).Methods A total of 80 unstable DRF patients admitted to our hospital from November 2020 to November 2022 were selected as the research subjects.They were randomly divided into a control group and an experimental group,with 40 patients in each group,using a random number table method.The control group was treated with open reduction and internal fixation(ORIF),while the experimental group was treated with arthroscopic assisted open reduction and internal fixation.Compare the clinical efficacy,excellent rate of wrist joint function recovery,and perioperative related indicators between two groups.Results The total effective rate of the experimental group was 95.00%,which was higher than the control group's 80.00%,and the difference was statistically significant(P<0.05).Three months after surgery,the wrist joint function of the experimental group was better than that of the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss of the experimental group was(43.66±7.44)mL,which was less than(68.53±9.36)mL of the control group,the hospitalization time(7.57±1.86)d,pain disappearance time(15.57±3.23)d,and fracture healing time(46.46±7.53)d were all shorter than(12.25±2.48)d,(22.15±4.14)d,and(51.68±6.74)d of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Compared to open reduction and internal fixation,arthroscopic assisted open reduction and internal fixation can effectively improve wrist joint function in unstable DRF patients,with minimal trauma and fast postoperative recovery.