|本期目录/Table of Contents|

[1]仇建军,邹翰林,石文俊,等.背侧钢板内固定治疗桡骨远端背侧粉碎性骨折的疗效分析[J].国际骨科学杂志,2020,06:376-381.
　QIU Jianjun,ZOU Hanlin,SHI Wenjun,et al.Dorsal plating of distal radius fractures with doral comminution[J].International Journal of Orthopaedics,2020,06:376-381.
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背侧钢板内固定治疗桡骨远端背侧粉碎性骨折的疗效分析(PDF)

《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:
2020年06期
页码:
376-381
栏目:
临床研究
出版日期:
2020-12-20

文章信息/Info

Title:
Dorsal plating of distal radius fractures with doral comminution
作者:
仇建军; 邹翰林; 石文俊; 张磊
200062, 上海中医药大学附属普陀医院骨科
Author(s):
QIU Jianjun;  ZOU Hanlin;  SHI Wenjun;  ZHANG Lei.
Department of Orthopedics, Putuo District Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China
关键词:
桡骨;  粉碎性骨折;  背侧钢板;  外固定支架
Keywords:
Radius;  Comminuted fractures;  Dorsal plating;  External fixation
分类号:
-
DOI:
10.3969/j.issn.1673-7083.2020.06.012
文献标识码:
A
摘要:
目的 探讨背侧钢板内固定治疗桡骨远端背侧粉碎性骨折的临床疗效。方法 纳入2016年6月至2018年6月期间上海中医药大学附属普陀医院骨科收治的86例桡骨远端背侧粉碎性骨折患者作为研究对象,按随机数字表法将研究对象分为两组(各43例),对照组采用外固定支架固定,观察组采用背侧钢板内固定。观察两组患者治疗效果、疼痛视觉模拟评分(VAS)、Cooney腕关节评分及影像学检查情况(掌倾角、尺偏角、桡骨缩短及关节台阶)。结果 观察组治疗效果优17例,良18例,可6例,差2例,优良率为95.35%; 对照组治疗效果优8例,良16例,可10例,差9例,优良率为79.07%。观察组优良率明显高于对照组,差异有统计学意义(P<0.05)。术前两组患者VAS评分、Cooney腕关节评分及影像学检查情况差异无统计学意义(P>0.05)。术后1年观察组VAS评分为(1.02±0.26)分,对照组VAS评分为(1.85±0.43)分,观察组VAS评分明显低于对照组; 观察组Cooney腕关节评分疼痛、功能状况、活动范围及握力分别为(19.68±2.84)分、(19.46±3.38)分、(19.65±2.96)分及(19.28±3.24)分,对照组分别为(17.74±2.59)分、(17.22±3.14)分、(17.47±2.85)分及(16.99±3.06)分,观察组各项Cooney腕关节评分均高于对照组; 观察组基于X线片测得的掌倾角、尺偏角大于对照组,桡骨缩短及关节台阶长度小于对照组,差异均有统计学意义(P<0.05)。结论 背侧钢板内固定治疗桡骨远端背侧粉碎性骨折效果较佳,腕关节功能改善明显,疼痛缓解,影像学复查效果满意,值得临床应用及推广。
Abstract:
Objective To investigate the clinical outcomes of dorsal plating of distal radius fractures with dorsal comminution.Methods A total of 86 patients suffering distal radius fractures with dorsal comminution from June 2016 to June 2018 in Putuo District Hosp

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备注/Memo

备注/Memo:
-
更新日期/Last Update: 2020-12-20