摘要
目的比较不同方法治疗桡骨远端粉碎性骨折的疗效。方法 2005年1月至2011年7月共收治桡骨远端粉碎性骨折244例,手法复位石膏外固定71例,切开复位内固定56例,外固定架固定52例,有限切开内固定结合外固定架治疗65例。结果平均随访7个月,腕关节功能按Dienst功能评分标准评定,手法复位石膏外固定组优良率76.1%,内固定组优良率80.4%,外固定架治疗组优良率80.8%,有限内固定结合外固定架治疗组优良率93.8%,明显优于其它组,差异有显著性意义(P<0.05),其它3组间疗效无显著差异(P>0.05)。结论有限切开内固定结合外固定架治疗桡骨远端粉碎性骨折疗效优于其它组。
Objective To compare the clinical results of different treatment methods for comminuted distal radial fractures. Methods The clinical data of 244 patients with comminuted distal radial fractures treated in this hospital during January 2005 to July 2011 were retrospectively analyzed. Among them, 71 cases were treated with manual reduction and plaster immobilization, 56 cases with internal fixation, 52 cases with external fixator, and 65 eases were treated with limited internal fixation and external fixator. Results All these patients were followed up for 3 to 12 months with an average of 7 months, all their fractures were healed. According to Dienst criteria, excellent rate of functional outcome was 76.1% for limited internal fixation and external fixator, 80.4% for manual reduction and plaster immobilization, 80.8% for internal fixation, and 93.8% for application of external fixator. The difference between limited internal fixation combined with external fixator and other methods was statistically significant （ P 〈 0.05 ）. Conclusion In treatment of eomminuted distal radial fractures, the effect of limited internal fixation combined with external fixator is more satisfactory than other methods.
出处
《临床和实验医学杂志》
2012年第11期850-851,共2页
Journal of Clinical and Experimental Medicine
