桡骨远端T型锁定接骨板治疗桡骨远端不稳定性骨折的效果

目的 分析桡骨远端T型锁定接骨板治疗桡骨远端不稳定性骨折的临床效果。方法 选择2016年7月~2019年5月在我院治疗的54例桡骨远端不稳定性骨折患者，采用随机数字表法分为对照组和观察组，各27例。对照组采用手法复位石膏固定治疗，观察组采用桡骨远端T型锁定接骨板治疗，比较两组临床治疗优良率、骨性愈合时间、掌倾角、尺偏角、腕关节功能评分以及术后并发症发生情况。结果 观察组临床治疗优良率为92.59%，高于对照组的81.48%（P＜0.05）；观察组骨性愈合时间、腕关节功能评分均低于对照组，掌倾角、尺偏角大于对照组（P＜0.05）；随访4个月，观察组并发症发生率为7.41%，低于对照组的22.22%（P＜0.05）。结论 桡骨远端T型锁定接骨板治疗桡骨远端不稳定性骨折疗效良好，且骨性愈合时间短，腕关节功能良好，术后并发症少，临床应用安全、有效，值得应用。

Effect of T-shaped Locking Plate for Distal Radius on Unstable Fracture of Distal Radius

Objective To analyze the clinical effect of T-locking bone plate for distal radius treatment of unstable fracture of distal radius. Methods A total of 54 patients with unstable fractures of the distal radius were treated in our hospital from July 2016 to May 2019. They were divided into control group and observation group by random number table method, with 27 cases in each. The control group was treated with manual reduction plaster fixation, and the observation group was treated with distal radius T-locking bone plate. The clinical treatment rate, bone healing time, palm tilt, ulnar deviation, wrist function score, and postoperative complications were compared between the two groups. Results The clinical treatment excellent rate in the observation group was 92.59%, which was higher than the control group’s 81.48%(P<0.05). The bone healing time and wrist function scores in the observation group were lower than those in the control group. The declination was larger than that of the control group(P <0.05). After 4 months of follow-up, the incidence of complications in the observation group was 7.41%, which was lower than 22.22% of the control group(P ＜0.05).Conclusion The T-shaped locking bone plate for the distal radius is effective in treating unstable fractures of the distal radius. It has a short bone healing time, good wrist function, few postoperative complications, and is safe and effective in clinical application.