无头加压空心螺钉在桡骨远端骨折内固定术中的应用效果

目的:探究无头加压空心螺钉应用于桡骨远端骨折内固定术中的作用.方法:收集我院在2012年1月~2015年1月期间收治的桡骨远端骨折患者100例,按随机表法随机分成两组,行无头加压空心螺钉内固定术的50例为观察组,另外行锁定钢板内固定的50例设置为对照组,比较两组的应用情况.结果:在手术时间、术中出血量、术后住院时间的平均值的比较中,观察组都低于对照组的,且经统计学分析,两者之间的差异均在统计学意义上是显著的.观察组的Jakim标准功能评分优、良、可、差、总的优良率相比于对照组的,经统计学分析,差异无显著性.在手术后的随访下,观察组和对照组的腕关节功能优良率分别为86.00%和84.00%;两组的Cooney腕关节评分痛疼比较无明显差异,观察组的其它Cooney腕关节评分功能、活动范围、握力与对照组的进行对比,前者显著高于后者.结论:将无头加压空心钉的方式应用于桡骨远端骨折的治疗,能够极大地降低手术过程中的出血量和手术时长,在恢复腕关节功能的同时,还保证了与传统的锁定钢板的方式在疗效上相当.

Application effect of the non head compression hollow screw in internal fixation of distal radius fractures

Objective To explore the effect of the application of the non head compression screw in internal fixation for fracture of the distal radius. Methods 100 patients with distal radius fractures were collected from January 2015 to January 2014. The patients were randomly divided into two groups according to the random table method.50 cases were treated with no head compression screws. Results In comparison with the average values of bleeding volume, postoperative hospital stay, and postoperative hospital stay, the observation group was lower than the control group, and the difference between the two groups was statistically significant. In the observation group, the functional score of Jakim was superior, good, and poor, and the to-tal excellent and good rate was compared to the control group, the difference was not significant. In the postoperative follow-up, observation group and control group of wrist function and excellent and good rate of 86.00% and 84.00%, respectively; two groups of Cooney wrist score pain pain had no significant difference observed group of other Cooney wrist score function, activity range, grip and control group were compared. The former is significantly higher than the latter. Conclusion The treatment of the fracture of the distal radius can be greatly reduced by using the method of the non head compression. It can greatly reduce the amount of bleeding and operation time.