摘要
[目的]探讨掌侧入路斜T形锁定加压钢板内固定治疗桡骨远端不稳定骨折的临床疗效。[方法]对2011年1月至2012年12月我院收住的32例桡骨远端不稳定型骨折患者应用斜T形锁定加压钢板内固定治疗。[结果]本组病例手术时间(58.4±9.2)min;所有病例均骨折愈合,骨折愈合时间(9.3±2.0)周。按Dienst功能评估标准评定疗效:优21例,良7例,可4例,优良率87.5%。术前与术后比较,掌倾角、尺偏角、桡骨高度明显恢复,经统计学分析,均有显著差异(P<0.01)。[结论]掌侧入路斜T形锁定加压钢板内固定治疗桡骨远端不稳定骨折具有操作简便,复位良好,固定可靠,能早期功能锻炼,并发症少,腕关节功能恢复良好,疗效满意等优点。
[Objective] To discuss the clinical effect of palmaris passage oblique T lock forcing steel plate internal fixation on distal radius unstable fracture. [Method] Make internal fixation to 32 such cases with obfique T lock forcing steel plate. [Result] The operation time was （58.4±9.2）nfin;all cases were cured, with fracture cured time（9.3＋2.0）w. Under Dienst functional evaluation standard, 21 cases were excellent, 7 good, 4 just so so, the excellency rate was 87.5%. Comparing the pre-operation with post-operation, the palm dip, ulna drift angle and radius height obviously recovered, the difference was marked over statistical meaning. [Conclusion]Palmaris passage oblique T lock forcing steel plate internal fixation treating distal radius unstable fracture was simple for operation, got good reposition and reliable fixation; the early exercise could reduce complications, the wrist joint could recover good function, with satisfying cure effect.
出处
《浙江中医药大学学报》
CAS
2013年第4期401-403,406,共4页
Journal of Zhejiang Chinese Medical University
基金
无锡市科学技术局基金(CSE01N1115)~~
关键词
桡骨骨折
远端
不稳定性
内固定
斜T形锁定加压钢板
radius fracture
distal
unstable
internal fixation
oblique T lock forcing steel plate
