摘要
目的探讨不同方法治疗桡骨远端不稳定骨折的临床疗效。方法对桡骨远端不稳定骨折92例（97侧）分别采用3种治疗方法：手法复位结合小夹板（或树脂夹板）或石膏外固定（A组）、克氏针有限内固定结合石膏外固定（B组）、锁定接骨板内固定或辅以石膏短期外固定（C组）。对3种方法的疗效进行比较。结果 92例均获随访,时间6～21个月。3种治疗方式的优良率为：A组88.6%,B组89.6%,C组85.7%。3组疗效比较差异无统计学意义（P〉0.05）。结论 3种治疗方法均操作简单,复位满意,固定可靠,并可进行早期功能锻炼,均是治疗桡骨远端不稳定骨折的有效方法。
Objective To investigate the clinical efficacy of different ways in treating unstable distal radius fracture.Methods 92 cases（97 hands） of unstable distal radius fractures were treated by closed reduction and splinting（or resin splint） or plaster external fixation,Kirschner wire fixation and limited internal fixation with plaster immobiliozation,and volar locking plate fixation or a combination of plaster immobilization.The 3 kinds of treatment methods were compared on effects.Results 92 cases followed up for 6~21 months.The excellent and good rate of 3 kinds methods were 88.6%,89.6%,87.5% in A,B and C groups.No significant difference between 3 groups（P0.05）.Conclusions 3 kinds of treatment methods are simple.Satisfactory reduction and reliable fixation can be retained with early exercises.The 3 method are all effective in the treatment of unstable distal radius fractures.
出处
《临床骨科杂志》
2011年第3期316-318,共3页
Journal of Clinical Orthopaedics
关键词
桡骨骨折
骨折固定术
回顾性研究
radius fractures
fracture fixation
retrospective study
