影响AO掌侧锁定加压接骨板治疗桡骨远端骨折疗效因素的随访研究

Objective To analyze the influencing factors for the treatment results of distal radius fracture by AO volar locking compression plate (LCP) fixation. Methods In the peaiod from July 2004 to October 2007,55 cases of distal radius fractures were treated with volar locking compreasion plate in our center.Clinical outcomes were evaluated by active ntnge of motion of the wrist and forearm,grip strength,Gartland/Werley wrist scoring systems and the Disabilities of the Arm,Shoulder, and Hand (DASH) questionnaire. Results There were 55 patients who were followed up for 6 to 44 months, with an average of 17.3 months.All the fractures healed.The Gartland/Werley scores were excellent in 32 cases,good in 10,fair in 12,and poor in 1.,The excellent and good rate was 76.4%.The average DASH score was 9.3±13.8.Patients younger than 55 years had DASH acores of 9.2±15.6 and Gardand/Werley scores of 3.8±5.2.while patients older than 55 years had DASH scores of 9.4±11.2 and Gartlard/Werley scores of 4.8±5.1.The differences between the two age groups were not statistically significant(P＞0.05).Patients with simple distal radius fractures had DASH scores of 4.9±6.4 and Cartland/Werley scores of 2.7±3.8.while those suffered accompanying ulnar side injury or severe soft tissue injuries had DASH scores of 14.1±18.0 and Gartland/Werley scores of 5.9±6.0,the differences being significant(P＜0.05). Conclusion The AO volar locking compression plate fixation provides solid fixation to the fractures.Supplemented with appropriate postopemtive training satisfactory results can be achieyed.Similar functional outcomes were Seen in patients younger or older than 55 years.Patients with ulnar side injury or severe soft tissue injuries appear to have worse results.     

Volar locking distal radius plates show better short-term results than other treatment options: A prospective randomised controlled trial

AIM To compare the outcomes of displaced distal radius fractures treated with volar locking plates and with immediate postoperative mobilisation with the outcomes of these fractures treated with modalities that necessitate 6 wk wrist immobilisation.METHODS A prospective, randomised controlled single-centre trial was conducted with 56 patients who had a displaced radius fracture were randomised to treatment either with a volar locking plate(n = 29), or another treatment modality(n = 27; cast immobilisation with or without wires or external fixator). Outcomes were measured at 12 wk. Functional outcome scores measured were the Patient-Rated Wrist Evaluation(PRWE) Score; Disabilities of the Arm, Shoulder and Hand and activities of daily living(ADLs). Clinical outcomes were wrist range of motion and grip strength. Radiographic parameters were volar inclination and ulnar variance.RESULTS Patients in the volar locking plate group had significantly better PRWE scores, ADL scores, grip strength and range of extension at three months compared with the control group. All radiological parameters were significantly better in the volar locking plate group at 3 mo. CONCLUSION The present study suggests that volar locking plates produced significantly better functional and clinical outcomes at 3 mo compared with other treatment modalities. Anatomical reduction was significantly more likely to be preserved in the plating group. Level of evidence: Ⅱ.     

AO新型锁定内固定系统治疗不稳定型桡骨远端骨折的疗效观察

目的 探讨AO新型2.4 mm锁定内固定系统治疗不稳定型桡骨远端骨折的临床疗效.方法 2007年5月至2008年10月,应用AO 2.4 mm锁定内固定系统治疗115例(120侧)小稳定型桡骨远端骨折患者,其中5例为双侧骨折.骨折按AO分型:A型35侧(A2型7侧,A3型28侧),B型15侧(B1型3侧,B2型8侧,B3型4侧),C型70侧(C1型42侧,C2型20侧,C3型8侧).开放伤110例,按Gustilo-Anderson分型:Ⅰ型6例,Ⅱ型4例.采用单纯掌侧锁定加压钢板(LCP)固定78侧,单纯背侧LCP固定16侧,背侧加桡背侧联合固定26侧.结果 98例患者获得随访,其中3例为双侧骨折患者,随访率为84.2%.随访时间为6～15个月,平均8个月.X线片示所有患者骨折均达到骨性愈合,无术后感染、内固定松动、背侧肌腱激惹、正中神经刺激症状发生.患者腕关节活动度平均为背伸54°,掌屈58°,旋前72°,旋后760°.根据Sarmiento改良的Garland & Werley评分方法评定疗效:优55侧,良32侧,可14侧,优良率为86.1%.结论 AO 2.4 mm锁定内固定系统可为多种类型的桡骨远端骨折提供个体化的内固定选择,且骨折复位、固定满意,患者腕关节功能预后良好.

Abstract：

Objective To observe the clinical outcome of AO 2.4 mm locking plate system used for unstable distal radius fractures. Methods From May 2007 to October 2008, 115 patients (5 cases of both sides) with unstable distal radius fractures were managed by AO 2.4 mm locking plate system. There were 35 fractures of type A, 15 type B and 70 type C according to AO classification. Of them, 10 fractures were open, with 6 of type 1 and 4 of type 2, according to Gustilo-Anderson Classification. Volar plating was conducted in 78 cases, dorsal plating in 16 cases and dorsal + radial plating in 26 cases. Results Ninety-eight patients (3 cases of both sides) were followed up for an average of 8 (range, 6 to 15) months. The follow-up rate was 84.2%. Radiographic bone union was achieved in all cases without infection, implant loosening, or tendon and median nerve irritations. The average ROM was 54°, 58°, 72°, and 76° for dorsi-extension, palmer flexion, pronation and supination respectively. According to Gartland & Werley Scores modified by Sarmiento, there were 55 excellent cases, 32 good and 14 fair, with an excellent to good rate of 86.1%. Conclusion AO 2.4 mm locking plate system can offer individualized fixation regimen for unstable distal ra-dius fractures, leading to satisfactory fracture reduction and fixation with predictable clinical outcomes.     

LCP治疗桡骨远端不稳定性骨折

目的：探讨桡骨远端不稳定性骨折掌侧锁定加压接骨板（locking compress plate, LCP）治疗效果。方法对2008年10月—2012年12月收治的48例桡骨远端不稳定性骨折患者,采取掌侧切口锁定加压接骨板固定。结果本组48例均获得术后随访,时间4～18个月（平均13个月）。按Dienest标准评价疗效：优40例,良6例,差2例,优良率96%。结论桡骨远端不稳定性骨折实行切开复位LCP内固定,术后骨折固定稳定,恢复效果满意。     

Closed reduction and intramedullary nailing versus open reduction and locking plate fixation in treatment of middle and upper humeral fractures北大核心CSCD

Objective To compare closed reduction and intramedullary nailing versus open reduction and locking plate fixation in the treatment of middle and upper humeral fractures. Methods A retrospective case-control study was conducted to analyze the clinical data of 62 patients with middle and upper humeral fracture who had been treated at Department of Orthopaedics, The First People's Hospital of Jinmen and at Department of Orthopedics, General Hospital of PLA Central Theater from October 2017 to February 2021. There were 35 males and 27 females, aged from 27 to 86 years. The left side was affected in 24 cases and the right side in 38 cases. All fractures were fresh. According to the AO classification, 16 cases were type A, 32 type B, and 14 type C. Of the patients, 29 were treated with closed reduction and intramedullary nailing (intramedullary nail group) and 33 with open reduction and locking plate fixation (locking plate group). The length of incision, operation time, intraoperative blood loss, hospital stay, fracture healing and complications were recorded and compared between the 2 groups. The pain degree was evaluated by visual analogue scale (VAS) at one week and one month after operation, and the functional recovery of the shoulder was evaluated by Constant-Murley score at one month and 12 months after operation. Results There was no significant difference in the preoperative general data between the 2 groups, showing comparability (P>0.05). The intramedullary nail group was followed up for 12 to 29 months and the locking plate group for 15 to 50 months. In the intramedullary nail group, the length of incision [(4.1±0.7) cm], operation time [(58.3±7.7) min], intraoperative blood loss [(52.7±6.5) mL], and hospital stay [(7.3±1.5) d] were significantly less than those in the locking plate group [(21.7±2.3) cm, (95.8±11.7) min, (237.4±14.9) ml, and (12.3±1.7) d] (P<0.05). The fracture healing time in the intramedullary nail group was (5.0±1.9) months, significantly longer than that in the locking plate group [(3.5±1.7) months] (P<0.05). The VAS scores at one week and one month after operation in the intramedullary nail group [(2.8±0.3) points and (1.2±0.5) points] were significantly lower than those in the locking plate group [(4.3±0.4) points and (1.6±0.5) points], and the Constant-Murley score at one month after operation in the intramedullary nail group [(63.5±7.4) points] was significantly higher than that in the locking plate group [(54.3±6.9) points] (P<0.05). However, at 12 months after operation, there was no significant difference in the Constant-Murley score between the 2 groups (P>0.05). In both groups, the VAS score at one month after operation was significantly lower than that at one week after operation while the Constant-Murley score at 12 months after operation was significantly higher than that at one week after operation (P<0.05). In the intramedullary nail group, intraoperative distal refracture happened in one case; in the locking plate group, incision infection occurred in one case and postoperative radial nerve injury in another. There was no significant difference in the incidence of complications between the 2 groups [3.4% (1/29) versus 6.1% (2/33)] (P>0.05). Conclusion In the treatment of middle and upper humeral fractures, compared with open reduction and locking plate fixation, closed reduction and intramedullary nailing shows advantages of a smaller surgical incision, shorter operation time, less intraoperative blood loss, shorter hospital stay and faster functional recovery. © The Author(s) 2022.     

复杂股骨干骨折内固定术后钢板折断9例

锁定加压钢板(locking compression plate,LCP),因结合了标准接骨板技术和内固定支架技术的优势,显著减少了内固定植入所需的组织剥离,保护了骨膜的血运,而被广泛应用。我们自2010年1月-     

Dsteosynthesis with long volar locking plates for meta- physeal-diaphyseal fractures of the distal radius

Objective：Metaphyseal-diaphyseal fractures of the distal radius are a major treatment dilemma and orthopaedic surgeons have to pay due consideration to restoration of anatomy of distal radius together with rotation of the radial shaft and maintenance of radial bow and interosseous space.We performed this study to evaluate the clinic-radiological outcome of metaphyseal-diaphyseal fractures of the distal radius treated with long volar locking plates.Methods：This prospective study involved 27 patients （22 males and 5 females） with metaphyseal-diaphyseal fracture of the distal radius.Their mean age was （30.12±11.48） years （range 19-52 years） and the follow-up was 26.8 months （range 22-34 months）.All patients underwent open reduction and internal fixation with a long volar locking plate.According to AO/OTA classification,there were 7 type A3,13 type C2 and 7 type C3 fractures.Subjective assessment was done based on the disabilities of the arm,shoulder and hand （DASH） questionnaire.Functional evaluation was done by measuring grip strength and range of motion around the wrist and the radiological determinants included radial angle,radial length,volar angle and ulnar variance.The final assessment was done according to Gartland and Werley scoring system.Results：Postoperative radiological parameters were well maintained throughout the trial,and there was significant improvement in the functional parameters from 6 weeks to final follow-up.The average DASH scores improved from 37.5 at 6 weeks to 4.2 at final follow-up.Final assessment using Gartland and Werley scoring system revealed 66.67%（n=l8） excellent and 33.33% （n=9） good results.There was one case of superficial infection which responded to antibiotics and another carpel tunnel syndrome which was managed conservatively.Conclusion：Volar locking plate fixation for metaphyseal-diaphyseal fractures of distal radius is associated with excellent to good functional outcome,early rehabilitation and minimal complications.     

T型锁定加压接骨板与远端万向锁定加压接骨板治疗桡骨远端骨折的疗效分析

目的 比较使用T型锁定加压接骨板和远端万向锁定加压接骨板在治疗桡骨远端骨折时的手术疗效.方法 回顾性分析2011年12月-2015年11月于首都医科大学附属北京友谊医院骨科分别采用T型锁定加压接骨板与远端万向锁定加压接骨板治疗桡骨远端骨折的118例患者病例资料.T型锁定加压接骨板组60例;按AO/OTA分型,其中A3型3例,B2型5例,B3型7例,C1型10例,C2型20例,C3型15例.远端万向锁定加压双柱接骨板组58例;按AO/OTA分型,其中A3型1例,B2型2例,B3型4例,C1型15例,C2型18例,C3型18例.分析对比两组术后影像学参数、功能恢复情况.随访以门诊随访进行.掌倾角、尺偏角、桡骨高度、腕关节背伸、掌屈、尺偏、桡偏、旋前、旋后角度以及Gartland-Werley功能评分用均数±标准差((x)±s)表示,组间比较行￡检验.结果 所有患者术后均得到随访,T型锁定加压接骨板组平均随访时间26.5个月,远端万向锁定加压双柱接骨板组平均随访时间25.6个月.结果显示,在尺偏角、桡骨高度、桡偏角度以及Gartland-Werley功能评分方面两组间差异无统计学意义,在掌倾角、腕关节背伸、掌屈、尺偏、旋前、旋后角度方面两组间差异有统计学意义,远端万向锁定加压接骨板具有优势.结论 采用两种内固定手术方式治疗桡骨远端骨折均获得满意的临床疗效,远端万向锁定加压接骨板更具有优势,临床手术应用可根据患者具体情况选择相应的内固定方式.     

两种不同外固定支架治疗胫骨远端骨折的疗效比较

目的 比较两种不同外固定支架治疗胫骨远端骨折的疗效.方法 对2005年8月至2010年2月分别采用跨关节单边外固定支架和双边组合式外固定支架治疗并获得随访的38例胫骨远端骨折患者资料进行分析,其中单边外固定支架组(A组)23例,男16例,女7例;年龄24～64岁,平均46.5岁;双边外固定支架组(B组)15例,男11例,女4例;年龄32～65岁,平均49.1岁,记录骨折愈合时间、并发症发生率,并按照美国足踝外科协会(AOFAS)的标准评价踝关节功能,比较两组患者的疗效.结果 所有患者术后获6～48个月(平均21个月)随访.骨折愈合时间:A组为3.5～12个月,平均(6.8±2.0)个月;B组为3～10个月(平均5.6±1.5)个月,两组比较差异有学意义(t=2.074,P=0.046).按照AOFAS标准进行评分:A组平均为(76.7±13.5)分,外固定期间并发症发生率为34.8%(8/23);B组平均为(74.4±13.6)分,外固定期间并发症发生率为40.0%(6/15).两组并发症发生率与AOFAS评分比较差异无统计学意义(P>0.05).结论 单边外固定支架固定与双边组合式外固定支架固定均是治疗胫骨远端骨折的有效固定方式,在骨折愈合的时间方面,双边外固定支架较单边外固定支架具有优势.

Abstract：

Objective To compare unilateral and bilateral external fixators in the surgical treatment of fractures of distal tibia. Methods From August 2005 to February 2010, 38 patients with distal tibial fracture were treated surgically in our department. Of them, 23 (group A) were fixed with unilateral external fixator (16 males and 7 females with a mean age of 46. 5 years), and 15 (group B) fixed with bilateral external fixator (11 males and 4 females with a mean age of 49. 1 years) . All the patients were followed up periodically after operation. Time of fracture healing, complications, the American Orthopaedic Foot and Ankle Society (AOFAS) scores for the ankle were documented and analyzed statistically to compare the clinical outcomes of the 2 groups. Results The patients were followed up for 6 to 48 months (mean, 21 months).The mean time for clinical fracture union was 6. 8 ± 2. 0 months (3. S to 12. 0 months) for group A, and 5. 6 ± 1. 5 months (3 to 10 months) for group B. The complication rates during external fixation were 34. 8% (8/23) for group A and 40.0% (6/15) for group B. The AOFAS scores for functional recovery were 76. 7 ± 13. 5 for group A and 74. 4 ± 13. 6 for group B. Independent samples t test showed a significant difference ( P < 0. 05) between the 2 groups in time of clinical fracture union, but no significant difference (t = 2. 074, P = 0. 046) in complication rates and AOFAS scores. Conclusion Both unilateral and bilateral external fixators are effective for fixation of distal tibial fractures, but bilateral external fixators may be better in time of fracture healing.     

Biplane osteotomy and bone transport combined external locking plating for sequential treatment of massive tibial bone defects北大核心CSCD

Objective To evaluate biplane osteotomy and bone transport combined external locking plating for sequential treatment of massive tibial bone defects. Methods Twenty-eight patients with massive tibial bone defects were reviewed who had been treated at Department of Repair and Reconstruction, Wuhan Puai Hospital from October 2013 to October 2019. They were divided into a bone transport group and a combined bone transport group (bone transport combined external locking plating) according to their surgical methods. In the bone transport group of 14 cases, there were 10 males and 4 females with an age of (38. 6 ±3. 2) years and a bone defect of (8. 0 ± 0. 5) cm; in the combined bone transport group of 14 cases, there were 9 males and 5 females with an age of (39. 1 ± 3. 9) years and a bone defect of (8. 3 ± 0. 3) cm. The time for wearing external fixator, fracture healing time, dock-in-site healing time, postoperative function assessment and complications were observed and compared between the 2 groups. Results There was no significant difference between the 2 groups in their preoperative general data, showing they were comparable (P > 0. 05). The bone transport group were followed up for 12 to 28 months (average, 18. 4 months) and the combined bone transport group for 12 to 26 months (average, 16. 8 months) . The time for wearing external fixator in the combined bone transport group [(8.4±0.7) months] was significantly shorter than that [(13.3±1.4) months ] in the bone transport group (P< 0. 05). No significant difference was observed between the 2 groups in either the fracture healing time [ (8. 4 土1.3) months versus (7. 4 ± 1. 2) months] or the dock-in-site healing time [(210. 2 ±9.1) months versus (206. 2 ± 9. 8) months ] (P > 0. 05). By the Association for the Study and Application of the Method of Ilizarov (ASAMI) scoring, the bone healing was excellent in 6, good in 5 and fair in 3 cases in the bone transport group while excellent in 8, good in 4 and fair in 2 cases in the combined bone transport group, showing no significant difference between the 2 groups in the excellent to good rate (P > 0. 05). By the postoperative functional assessment of the lower extremity, there were 7 excellent, 3 good, 3 fair and one poor cases in the bone transport group while 8 excellent, 5 good and one poor cases in the combined bone transport group, showing no significant difference between the 2 groups in the excellent to good rate (P > 0. 05). In the bone transport group, there were 3 cases of pin track infection, one case of dock-in-site nonunion, 2 cases of poor alignment of lower extremities, 2 cases of skin depression, one case of nail loosening, 5 cases of joint stiffness and 3 cases of delayed union of the distracted bone; in the combined bone transport group, there were one case of pin track infection, 2 cases of poor alignment of lower extremities, 3 cases of skin depression, 3 cases of joint stiffness, 2 cases of delayed union of the distracted bone and one case of refracture. Conclusion In the sequential treatment of massive tibial bone defects, biplane osteotomy and bone transport combined external locking plating can reduce the time for wearing external fixator and increase the satisfaction of patients. © The Author(s) 2022.     

桡骨远端C型骨折掌侧锁定钢板与外固定架的疗效比较

目的比较掌侧锁定钢板与外固定架治疗桡骨远端C型骨折的疗效。方法采用随机对照法,纳入2014年10月到2017年10月收治的桡骨远端C型骨折患者,随机分为两组,分别采用外固定架或者掌侧锁定钢板治疗。比较两组患者手术时间、术中出血量、骨折愈合时间、术后并发症发生率;比较末次随访时患者腕关节活动度、桡骨掌倾角、尺偏角;比较健、患侧握力比值和患侧腕关节Gartland-Werley评分。结果共纳入30例患者,其中外固定架组14例,掌侧锁定钢板组16例。两组患者术后均随访1年。结果显示,掌侧锁定钢板组手术时间长于外固定架组,术中出血量多于外固定架组,但末次随访时桡骨掌倾角、尺偏角恢复水平优于外固定架组(P<0.05);两组骨折愈合时间,末次随访时腕关节屈伸、旋转活动度,健、患侧握力比,患侧腕关节Gartland-Werley评分等,均未见明显统计学差异(P>0.05);两组患者均未发生术后并发症。结论对于桡骨远端C型骨折,外固定架治疗的手术风险小于掌侧锁定钢板,但会造成术后一定程度的复位丢失,然而这种复位丢失并不影响患者的腕关节功能恢复。     

掌侧锁定接骨板与外固定架固定治疗不稳定桡骨远端关节内骨折的疗效比较

目的比较掌侧锁定接骨板与外固定架固定治疗不稳定桡骨远端关节内骨折的临床疗效。方法回顾性分析自2015-01—2018-03诊治的78例不稳定桡骨远端关节内骨折,47例采用掌侧锁定接骨板固定手术治疗(锁定板组),31例采用外固定架手术治疗(外固定组)。比较2组手术时间、并发症情况,以及末次随访时关节塌陷情况、DASH评分、Gartland-Werley评分、握力、屈曲度、背伸度、旋前度、旋后度、桡侧倾斜度、尺侧倾斜度。结果 78例均顺利完成手术,随访时间12~32个月,平均16.2个月。锁定板组手术时间较外固定组长,差异有统计学意义(P<0.05)。2组并发症情况比较差异无统计学意义(P>0.05)。末次随访时2组DASH评分、Gartland-Werley评分、握力、腕关节背伸度、旋后度、桡侧倾斜度以及尺侧倾斜度比较差异无统计学意义(P>0.05);锁定板组在屈曲度、旋前度表现较外固定组更好,关节塌陷数较外固定组少,差异有统计学意义(P<0.05)。结论掌侧锁定接骨板手术治疗不稳定性桡骨远端关节内骨折能更好地恢复腕关节的屈曲和旋前功能,维持关节面平整性,但并不能减少并发症以及获得更好的功能评分;医师应综合考虑骨折分型、关节面塌陷以及患者的需求,选择合适的手术方法。     

外固定支架联合骨片钉在桡骨远端严重粉碎性骨折中的应用

目的研究外固定支架联合骨片钉治疗桡骨远端粉碎性骨折的长期疗效。方法对2010年1月-2011年12月,采用外固定支架联合骨片钉治疗的24例桡骨远端粉碎性骨折患者进行随访研究。按照AO／ASIF分型：C1型7例,c2型6例,C3型11例。随访内容：腕关节活动度（屈曲、背伸、尺偏、桡偏）,前臂旋前、旋后活动范围,握力、捏力及影像学资料（掌倾角、尺偏角、桡骨高度）。按上肢功能评定标准（Disabilities of the Arm、Shoulderand Hand,DASH）和Gartland—Werley腕关节评分标准进行综合评估。结果术后随访12-24个月,平均为15．8个月。X线片示所有骨折均愈合。按Gartland—Wefley腕关节评定,本组优11例,良9例,可4例,优良率为83．3％。结论外固定支架联合骨片钉治疗桡骨远端粉碎性骨折可以达到满意疗效。     

掌侧锁定加压钢板治疗桡骨远端粉碎性骨折的临床分析

目的 探讨锁定加压钢板治疗桡骨远端粉碎性骨折的临床疗效.方法 回顾性分析2005年2月～2010年12月应用锁定加压钢板治疗桡骨远端粉碎性骨折55例的临床资料.按AO/ASIF分型:C1型28例,C2型17例,C3型10例.均为闭合性新鲜骨折.结果 所有患者术后获得8～15个月,平均12个月的随诊.均骨性愈合,平均愈合时间9周.按Gartland/werley腕关节评分:优32例,良10例,可12例,差1例;优良率为76.4％.结论 应用锁定加压钢板治疗桡骨远端粉碎性骨折有利于骨折复位,为维持桡骨高度、掌倾角、尺偏角提供持续、坚强的固定,具有良好的临床疗效.     

桡骨远端C3型骨折不同治疗方法的回顾性研究

目的探讨C3型桡骨远端骨折有效治疗方法。方法对2017年6月-2018年7月收治的53例桡骨远端C3型骨折患者,分别采用闭合复位外固定架固定和切开复位锁定加压钢板内固定两种方法进行固定,其中外固定架组34例,内固定组19例,并按照两种治疗方法的复位标准和功能标准对优良率进行比较。结果53例术后均获得随访,随访时间19~36个月,平均28个月。按Gartland和Werley腕关节功能评估标准进行评定,外固定架固定组优良率88.2%,内固定组优良率88.8%。两组在尺偏角和桡骨高度方面差异无统计学意义(P>0.05),外固定架组掌倾角小于内固定组,两组差异有统计学意义(P <0.05)。结论切开复位锁定加压钢板内固定与闭合复位外固定架固定效果无明显差异,外固定架在治疗桡骨远端C3型骨折的应用上占有一席之地。     

掌侧锁定接骨板与普通接骨板治疗桡骨远端骨折疗效的比较

目的 比较掌侧锁定接骨板与普通接骨板治疗桡骨远端骨折的长期疗效.方法 对2005年9月-2007年11月间,采用切开复位掌侧锁定接骨板或普通接骨板内固定的45例随访资料完整的患者,进行两种疗法的比较.其中23例行锁定接骨板内固定,22例行普通接骨板内固定.按照AO分型:A型11例,B型11例,C型23例.随访内容包括:腕关节活动度(屈曲、背伸、尺偏、桡偏),前臂旋前、旋后活动范围,影像学资料(尺偏角、掌倾角、桡骨高度),应用DASH上肢功能评定标准和Gartland/Wertey腕关节评分法进行评分.结果 术后随访时间平均为18.8个月(12～36个月).腕关节活动度中,锁定板组背伸及两组的桡偏范围低于Gartland/Werley腕关节评分的基本范围.两组DASH值、腕关节活动度及前臂旋转范围,握力、捏力的恢复差异无统计学意义.Gartland/Werley腕关节评分普通接骨板治疗组优于锁定接骨板治疗组,差异有统计学意义.掌倾角均值两组都低于正常范围,尺偏角与桡骨高度均值在正常范围内,两组间差异无统计学意义.结论 掌侧锁定接骨板与普通接骨板在桡骨远端骨折治疗中具有相同疗效.     

掌侧锁定接骨板与普通接骨板治疗桡骨远端骨折疗效的比较

目的 比较掌侧锁定接骨板与普通接骨板治疗桡骨远端骨折的长期疗效.方法 对2005年9月-2007年11月间,采用切开复位掌侧锁定接骨板或普通接骨板内固定的45例随访资料完整的患者,进行两种疗法的比较.其中23例行锁定接骨板内固定,22例行普通接骨板内固定.按照AO分型:A型11例,B型11例,C型23例.随访内容包括:腕关节活动度(屈曲、背伸、尺偏、桡偏),前臂旋前、旋后活动范围,影像学资料(尺偏角、掌倾角、桡骨高度),应用DASH上肢功能评定标准和Gartland/Wertey腕关节评分法进行评分.结果 术后随访时间平均为18.8个月(12～36个月).腕关节活动度中,锁定板组背伸及两组的桡偏范围低于Gartland/Werley腕关节评分的基本范围.两组DASH值、腕关节活动度及前臂旋转范围,握力、捏力的恢复差异无统计学意义.Gartland/Werley腕关节评分普通接骨板治疗组优于锁定接骨板治疗组,差异有统计学意义.掌倾角均值两组都低于正常范围,尺偏角与桡骨高度均值在正常范围内,两组间差异无统计学意义.结论 掌侧锁定接骨板与普通接骨板在桡骨远端骨折治疗中具有相同疗效.     

掌侧锁定接骨板与普通接骨板治疗桡骨远端骨折疗效的比较

目的 比较掌侧锁定接骨板与普通接骨板治疗桡骨远端骨折的长期疗效.方法 对2005年9月-2007年11月间,采用切开复位掌侧锁定接骨板或普通接骨板内固定的45例随访资料完整的患者,进行两种疗法的比较.其中23例行锁定接骨板内固定,22例行普通接骨板内固定.按照AO分型:A型11例,B型11例,C型23例.随访内容包括:腕关节活动度(屈曲、背伸、尺偏、桡偏),前臂旋前、旋后活动范围,影像学资料(尺偏角、掌倾角、桡骨高度),应用DASH上肢功能评定标准和Gartland/Wertey腕关节评分法进行评分.结果 术后随访时间平均为18.8个月(12～36个月).腕关节活动度中,锁定板组背伸及两组的桡偏范围低于Gartland/Werley腕关节评分的基本范围.两组DASH值、腕关节活动度及前臂旋转范围,握力、捏力的恢复差异无统计学意义.Gartland/Werley腕关节评分普通接骨板治疗组优于锁定接骨板治疗组,差异有统计学意义.掌倾角均值两组都低于正常范围,尺偏角与桡骨高度均值在正常范围内,两组间差异无统计学意义.结论 掌侧锁定接骨板与普通接骨板在桡骨远端骨折治疗中具有相同疗效.     

掌侧锁定接骨板与普通接骨板治疗桡骨远端骨折疗效的比较

目的 比较掌侧锁定接骨板与普通接骨板治疗桡骨远端骨折的长期疗效.方法 对2005年9月-2007年11月间,采用切开复位掌侧锁定接骨板或普通接骨板内固定的45例随访资料完整的患者,进行两种疗法的比较.其中23例行锁定接骨板内固定,22例行普通接骨板内固定.按照AO分型:A型11例,B型11例,C型23例.随访内容包括:腕关节活动度(屈曲、背伸、尺偏、桡偏),前臂旋前、旋后活动范围,影像学资料(尺偏角、掌倾角、桡骨高度),应用DASH上肢功能评定标准和Gartland/Wertey腕关节评分法进行评分.结果 术后随访时间平均为18.8个月(12～36个月).腕关节活动度中,锁定板组背伸及两组的桡偏范围低于Gartland/Werley腕关节评分的基本范围.两组DASH值、腕关节活动度及前臂旋转范围,握力、捏力的恢复差异无统计学意义.Gartland/Werley腕关节评分普通接骨板治疗组优于锁定接骨板治疗组,差异有统计学意义.掌倾角均值两组都低于正常范围,尺偏角与桡骨高度均值在正常范围内,两组间差异无统计学意义.结论 掌侧锁定接骨板与普通接骨板在桡骨远端骨折治疗中具有相同疗效.     

掌侧锁定接骨板与普通接骨板治疗桡骨远端骨折疗效的比较

目的 比较掌侧锁定接骨板与普通接骨板治疗桡骨远端骨折的长期疗效.方法 对2005年9月-2007年11月间,采用切开复位掌侧锁定接骨板或普通接骨板内固定的45例随访资料完整的患者,进行两种疗法的比较.其中23例行锁定接骨板内固定,22例行普通接骨板内固定.按照AO分型:A型11例,B型11例,C型23例.随访内容包括:腕关节活动度(屈曲、背伸、尺偏、桡偏),前臂旋前、旋后活动范围,影像学资料(尺偏角、掌倾角、桡骨高度),应用DASH上肢功能评定标准和Gartland/Wertey腕关节评分法进行评分.结果 术后随访时间平均为18.8个月(12～36个月).腕关节活动度中,锁定板组背伸及两组的桡偏范围低于Gartland/Werley腕关节评分的基本范围.两组DASH值、腕关节活动度及前臂旋转范围,握力、捏力的恢复差异无统计学意义.Gartland/Werley腕关节评分普通接骨板治疗组优于锁定接骨板治疗组,差异有统计学意义.掌倾角均值两组都低于正常范围,尺偏角与桡骨高度均值在正常范围内,两组间差异无统计学意义.结论 掌侧锁定接骨板与普通接骨板在桡骨远端骨折治疗中具有相同疗效.