经掌侧入路斜T形钢板内固定治疗桡骨远端不稳定骨折疗效

目的探讨采用经掌侧入路斜T形钢板内固定治疗桡骨远端不稳定骨折的临床疗效。方法将82例桡骨远端不稳定骨折患者按数字随机法分为两组,每组各41例。治疗组采用经掌侧入路斜T形钢板内固定治疗,对照组采用经掌侧入路解剖钢板内固定治疗。比较两组手术时间、术中出血量、住院时间及骨折愈合时间,手术前后掌倾角、尺偏角及桡骨高度,术后对两组患者随访12个月,比较腕关节功能优良率。结果两组手术时间、术中出血量及住院时间比较,差异无统计学意义(P0.05);治疗组骨折愈合时间优于对照组,差异有统计学意义(P0.05);掌倾角、尺偏角及桡骨高度两组术前差异无统计学意义,治疗后两组均显著改善,治疗后两组比较,治疗组优于对照组,差异有统计学意义(P0.05);两组腕关节优良率比较,治疗组优于对照组,差异有统计学意义(P0.05)。结论经掌侧入路斜T形钢板内固定治疗桡骨远端不稳定骨折疗效确切,可将骨折端进行良好复位和坚强固定,有利于腕关节功能的恢复,值得临床推广应用。

The curative effect analysis of volar T - shaped plate internal fixation for unstable distal radius fracture.

Objective To investigate the curative effect of volar T-shaped plate internal fixation for unstable distal radius fractures. Methods Eighty-two patients with unstable distal radius fractures were divided into two groups by random number table method,41 cases were in each group. The treatment group was treated with volar oblique T-shaped plate internal fixation,and the control group with volar anatomical plate internal fixation. The operation time,amount of bleeding,hospitalization time and healing time of fracture were compared between the two groups;the palmar tilt,ulnar deviation and radial height before and after operation were compared. Patients of the two groups were followed up for 12 months after operation,the excellent and good rate of wrist joint function was compared. Results There were no significant differences in the operation time,amount of bleeding and hospitalization time of patients between two groups（all P 〉0. 05）. The fracture healing time in the treat-ment group was shorter than that of the control group,the difference was statistically significant（ P 〈0. 05）. Before operation,there were no sig-nificant differences in the palmar tilt,ulnar deviation and radial height between two groups;after operation,the palmar tilt,ulnar deviation and ra-dial height were improved in both groups,but better improvement was observed in treatment group（all P 〈0. 05）. The excellent rate of wrist joint function was higher in the treatment group（ P 〈0. 05）. Conclusion The volar T-shaped plate internal fixation for unstable distal radius frac-tures has an exact curative effect,the fracture end can have a good reduction and rigid fixation,it is conducive to the recovery of wrist function.