摘要
目的比较内固定和外固定治疗桡骨远端粉碎性骨折的疗效差异,探讨不同类型的桡骨远端粉碎性骨折的合适治疗方法。方法需手术治疗的桡骨远端粉碎性骨折患者105例中,行内固定术55例,外固定架固定50例。结果内固定患者愈合时间显著短于外固定患者,差异有统计学意义(P<0.05);术后12个月、Jakim分型Ⅰ、Ⅱ、Ⅲ型骨折两组Gartland-Wefley评分相比,差异无统计学意义(P>0.05);Ⅳ、Ⅴ型骨折两组评分相比,差异有统计学意义(P<0.05)。结论对于桡骨远端粉碎性骨折,Ⅳ、Ⅴ型骨折尽量选用切开复位内固定术,而对于Ⅰ、Ⅱ、Ⅲ型骨折则可行外固定架固定术。
Objective To compare the efficacy of internal fixation and external fixation for comminuted distal radius fractures and explore the appropriate treatment methods for different types of comminuted distal radius fractures. Methods Of the 105 patients with comminuted distal radius fractures requiring surgical treatment,55 patients received internal fixation and 50 patients received external fixation. Results The healing time of internal fixation patients was significantly shorter than that of the external fixation patients（P 〈 0.05）. Twelve months after the surgerY,the two groups were not significantly different in the Gattland-Wefley score as for Jakim type Ⅰ , Ⅱ and Ⅲ fractures （P 〉 0.05）,but were significantly different as for Jakim type IV and V fractures. Conclusion For comminuted distal radius fractures,the internal fixation is feasible for typeⅣ and Ⅴ fractures while the external fixation is feasible for type Ⅰ ,Ⅱ andⅢ fractures.
出处
《中国医药科学》
2013年第10期165-166,共2页
China Medicine And Pharmacy
关键词
桡骨骨折
内固定术
外固定术
Radial facture
Internal fixation
External fixation
