锁定加压接骨板治疗桡骨远端不稳定性骨折的疗效分析
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摘要
目的探讨桡骨远端不稳定性骨折应用锁定加压接骨板治疗疗效。方法选取2015年6月～2018年6月本院收治桡骨远端骨折患者60例,随机分为对照组与治疗组,每组30例,对照组用传统治疗,治疗组用锁定加压接骨板治疗,分析临床指标、腕关节功能、并发症发生率。结果临床指标、并发症发生率较于对照组,治疗组较低,差异有统计学意义(P <0.05);相较于对照组,腕关节功能治疗组较优,差异有统计学意义(P <0.05)。结论桡骨远端不稳定性骨折患者应用锁定加压接骨板治疗,既可促使腕关节功能尽快康复,又可改善临床指标、减少并发症发生概率,临床应用价值较高,值得推广。
Objective To explore the curative effect of locking compression plate in treatment of unstable fracture of distal radius. Methods 60 patients with distal radius fractureswho were admitted and treated in our hospital from June 2015 to June 2018 were selected.According to the computerized randomization method,they were divided into the control groups and the treatment group,with 30 cases in each group.The control group was given traditional treatment while the treatment group was treated with locking compression plate.Clinical indexes,wrist functionand complication rate were analyzed. Results Clinical indexes and incidence of complications in the treatment groupwere lower than those in the control group(P < 0.05).Compared with the control group,the wrist function of the treatment group was better(P < 0.05). Conclusion For patients with unstable fractures of the distal radius,locking compression plate can not only improve the function of wrist joints as soon as possible,but also improve clinical indexes and reduce the probability of complications.It hasrelatively high clinical application value,which is worthy of promotion.
Objective To explore the curative effect of locking compression plate in treatment of unstable fracture of distal radius. Methods 60 patients with distal radius fractureswho were admitted and treated in our hospital from June 2015 to June 2018 were selected.According to the computerized randomization method,they were divided into the control groups and the treatment group,with 30 cases in each group.The control group was given traditional treatment while the treatment group was treated with locking compression plate.Clinical indexes,wrist functionand complication rate were analyzed. Results Clinical indexes and incidence of complications in the treatment groupwere lower than those in the control group(P < 0.05).Compared with the control group,the wrist function of the treatment group was better(P < 0.05). Conclusion For patients with unstable fractures of the distal radius,locking compression plate can not only improve the function of wrist joints as soon as possible,but also improve clinical indexes and reduce the probability of complications.It hasrelatively high clinical application value,which is worthy of promotion.
引文
[1]白晓冬,王宝军,赵亮,等.远端万向锁定加压双柱接骨板治疗桡骨远端骨折[J].中华创伤骨科杂志,2015,17(9):815-818.
[2]王健,张怀保,卓高豹,等.锁定加压接骨板结合克氏针治疗中青年C型桡骨远端骨折[J].中华手外科杂志,2014,30(2):107-109.
[3]巴雪峰,凯瑟尔·阿马努拉,汪少波,等.AO万向掌侧双柱锁定加压接骨板治疗不稳定桡骨远端骨折的疗效分析[J].骨科,2014,5(3):178-180,187.
[4]王健岳,覃巍,吴农欣.桡骨远端骨折两种手术入路的临床比较[J].中国骨与关节损伤杂志,2013,28(7):683-684.
[5]朱乐银,印文彩,乔高山,等.掌侧入路斜T型钢板内固定治疗桡骨远端不稳定骨折[J].临床骨科杂志,2012,15(1):95-97.
[6]Hohmann E,Hansen T,Tetsworth K.Treatment of Neer type II fractures of the lateral clavicle using distal radius locking plates combined with TightRope augmentation of the coraco-clavicular ligaments[J].Archives of Orthopaedic&Trauma Surgery,2012,132(10):1415-1421.
[7]白晓冬,赵亮,李亚东,等.T型锁定加压接骨板与远端万向锁定加压接骨板治疗桡骨远端骨折的疗效分析[J].国际外科学杂志,2017,44(8):539-543.
[8]张宇轩,谢仁国,许亚军,等.万向双柱锁定接骨板与T型锁定接骨板治疗桡骨远端骨折疗效的比较[J].中华手外科杂志,2015,31(1):13-16.
[9]郭雅娣,闵捷,李峻,等.单一锁定加压钢板掌侧入路治疗桡骨远端骨折[J].中华手外科杂志,2014,30(3):235-236.
[10]张文化,冯佳男,雷洋,等.比较分析掌侧入路普通T型钢板及锁定加压接骨板(LCP)治疗桡骨远端骨折的疗效[J].中国当代医药,2012,19(4):47-48.
[11]Choo SK,Ji HN,Kim Y,et al.The surgical outcome of unstable distal clavicle fractures treated with 2.4mm volar distal radius locking plate[J].J Korean Fract Soc,2015,28(1):38.
[12]饶海群,黄大江,吴渊,等.锁定加压接骨板治疗老年不稳定性桡骨远端骨折疗效评价[J].中国矫形外科杂志,2015,23(18):1713-1715.
[13]马亮,许永涛,佘远举,等.掌侧入路锁定加压接骨板治疗桡骨远端骨折[J].中国医药科学,2015,5(18):167-169.
[14]王家宁,张科,张大鹏.掌侧锁定加压接骨板治疗桡骨远端不稳定骨折的体会[J].安徽卫生职业技术学院学报,2012,11(2):34-35.
[15]罗斌.掌侧锁定加压接骨板治疗桡骨远端不稳定性骨折的临床疗效[J].吉林医学,2016,37(11):2797-2799.
[2]王健,张怀保,卓高豹,等.锁定加压接骨板结合克氏针治疗中青年C型桡骨远端骨折[J].中华手外科杂志,2014,30(2):107-109.
[3]巴雪峰,凯瑟尔·阿马努拉,汪少波,等.AO万向掌侧双柱锁定加压接骨板治疗不稳定桡骨远端骨折的疗效分析[J].骨科,2014,5(3):178-180,187.
[4]王健岳,覃巍,吴农欣.桡骨远端骨折两种手术入路的临床比较[J].中国骨与关节损伤杂志,2013,28(7):683-684.
[5]朱乐银,印文彩,乔高山,等.掌侧入路斜T型钢板内固定治疗桡骨远端不稳定骨折[J].临床骨科杂志,2012,15(1):95-97.
[6]Hohmann E,Hansen T,Tetsworth K.Treatment of Neer type II fractures of the lateral clavicle using distal radius locking plates combined with TightRope augmentation of the coraco-clavicular ligaments[J].Archives of Orthopaedic&Trauma Surgery,2012,132(10):1415-1421.
[7]白晓冬,赵亮,李亚东,等.T型锁定加压接骨板与远端万向锁定加压接骨板治疗桡骨远端骨折的疗效分析[J].国际外科学杂志,2017,44(8):539-543.
[8]张宇轩,谢仁国,许亚军,等.万向双柱锁定接骨板与T型锁定接骨板治疗桡骨远端骨折疗效的比较[J].中华手外科杂志,2015,31(1):13-16.
[9]郭雅娣,闵捷,李峻,等.单一锁定加压钢板掌侧入路治疗桡骨远端骨折[J].中华手外科杂志,2014,30(3):235-236.
[10]张文化,冯佳男,雷洋,等.比较分析掌侧入路普通T型钢板及锁定加压接骨板(LCP)治疗桡骨远端骨折的疗效[J].中国当代医药,2012,19(4):47-48.
[11]Choo SK,Ji HN,Kim Y,et al.The surgical outcome of unstable distal clavicle fractures treated with 2.4mm volar distal radius locking plate[J].J Korean Fract Soc,2015,28(1):38.
[12]饶海群,黄大江,吴渊,等.锁定加压接骨板治疗老年不稳定性桡骨远端骨折疗效评价[J].中国矫形外科杂志,2015,23(18):1713-1715.
[13]马亮,许永涛,佘远举,等.掌侧入路锁定加压接骨板治疗桡骨远端骨折[J].中国医药科学,2015,5(18):167-169.
[14]王家宁,张科,张大鹏.掌侧锁定加压接骨板治疗桡骨远端不稳定骨折的体会[J].安徽卫生职业技术学院学报,2012,11(2):34-35.
[15]罗斌.掌侧锁定加压接骨板治疗桡骨远端不稳定性骨折的临床疗效[J].吉林医学,2016,37(11):2797-2799.