闭合复位弹性钢纸板外固定治疗尺桡骨双骨折的疗效分析

目的:比较闭合复位自制弹性钢纸板外固定与传统切开复位钢板螺钉内固定治疗尺桡骨双骨折的临床效果。方法:分别采用闭合复位自制弹性钢纸板外固定(A组38例)与切开复位钢板螺钉内固定(B组48例)治疗尺桡骨双骨折,并进行随访观察对比。结果:两组86例均获随访。时间12～24个月,平均14个月。按国家中医药管理局发布的中医病症诊断疗效标准评定,A组优30例,良6例,差2例,优良率94.7%;B组优39例,良7例,差2例,优良率95.8%。经统计学分析,两组疗效比较差异无统计学意义(P0.05)说明闭合复位弹性钢纸板外固定和手术切开复位内固定治疗尺桡骨双骨折对于前臂功能的恢复和预后是相似的。结论:采用闭合复位弹性钢纸板外固定治疗尺桡骨双骨折的方法疗效显著,创伤小,见效快,并发症少,经济实惠,患者易于接受。使用方便(门诊、病房皆可)。值得临床推广利用,但要求医生有娴熟的手法复位技术和对骨折移位的精准判断。患者也可根据自身的实际情况来选择治疗方案。

Curative Effect Analysis of the Ulna and Radius Fractures Treated with Closed Reduction Elastic Steel Cardboard External Fixation

Objective: To observe the clinical effects of the ulna and radius fractures treated with closed reduction and self-made elastic steel cardboard external fixation and the open reduction and plate screw internal fixation.Methods:The patients with the ulna and radius fractures were treated with closed reduction and self-made elastic steel cardboard external fixation(38 cases in group A) and with open reduction and plate screw internal fixation(48 cases in group B) respectively,and were followed up and compared.Results:All the 86 cases in the two groups were followed up,and the follow-up duration was 12~24months with an average of 12 months.According to the criteria of diagnosis and therapeutic effect evaluation of TCM diseases issued by State Administration of Traditional Chinese Medicine,group A: excellent in 30 cases,good in 6 cases,poor in 2 cases,the excellent and good rate was 94.7%;group B: excellent in 39 cases,good in 7 cases,poor in 2 cases,the excellent and good rate was 95.8%.By statistical analysis,there was no significant difference between the two groups(P>0.05),which indicated that the forearm function recovery and prognosis of the ulna and radius fractures treated with closed reduction and self-made elastic steel cardboard external fixation and the open reduction and plate screw internal fixation is similar.Conclusion: The method of closed reduction and self-made elastic steel cardboard external fixation for the treatment of the ulna and radius fractures has obvious curative effect,with less trauma,quick effect,less complications,low cost,easy to accept by patients,and easy to use in clinic or in ward.The method is worthy of extensive clinical use,but requires the doctor has skilled manual reduction technology and incisive understanding for fracture displacement.Patients should choose treatment schemes according to the actual situations of their own.