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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

手法整复夹板外固定与切开复位内固定治疗桡骨远端骨折的临床疗效比较

韩刚

(江苏省涟水县人民医院骨科,江苏 淮安,223400)

浏览次数:100次 下载次数:365次

摘要:

目的 分析比较手法整复夹板外固定与切开复位内固定治疗桡骨远端骨折的临床疗效。方法 回顾性分析我院收治的 74 例桡骨远端C 型骨折患者的临床资料,根据不同治疗方法分为甲组(行手法整复夹板外固定)和乙组(行切开复位内固 定)。治疗后6个月,比较两组患者的尺偏角、掌倾角、疼痛视觉模拟评分(VAS)评分、Gartland-Werley 腕关节功能评分及并 发症发生率。结果 两组VAS评分、腕关节功能评分比较,差异不显著(P>0.05);甲组尺偏角、掌倾角明显小于乙组,差异显著(P<0.05);两组并发症总发生率比较,差异不具有统计学意义(P>0.05)。结论 手法整复夹板外固定与切开复位内固定治疗桡 骨远端C 型骨折在痛疼缓解、腕关节功能恢复、临床疗效及并发症发生率方面并无显著差异。但手法整复夹板外固定更有利 于骨折解剖复位,临床上选择何种治疗方法应根据具体情况。

关键词:手法整复夹板外固定;切开复位内固定;桡骨远端骨折

中图分类号:R687.3 文献标志码:A文章编号:2096-1413(2018)02-0098-02

    Clinical efficacy comparison of manipulation and splint external fixation and open reduction and internal fixation

    in the treatment of distal radius fractures

    HAN Gang
    (Orthopedics Department, the People``s Hospital of Lianshui County, Huai``an 223400, China)

    ABSTRACT: Objective To analyze and compare the clinical effects of manipulative reduction and splint external fixation and open reduction and internal fixation in the treatment of distal radius fractures. Methods A retrospective analysis of the clinical data of 74 patients with type C distal radius fracture treated in our hospital was performed. The patients were divided into group A (treated with manipulative reduction and splint external fixation) and group B (treated with open reduction and internal fixation) according to the different treatment methods. At 6 months after treatment, the ulnar angles, palmar angles, pain visual analogue scores (VAS), Gartland -Werley wrist joint function scores and incidence of complications were compared in the two groups. Results There were no significant differences in the VAS scores and wrist joint function scores between the two groups (P>0.05). The ulnar angle and the palmar angle in group A were significantly less than those in the group B (P <0.05). There was no statistically significant difference in the total incidence of complications between the two groups (P>0.05). Conclusion There is no significant difference in pain relief, wrist function recovery, clinical effect and complication rate between manipulation and splint external fixation and open reduction and internal fixation in the treatment of type C distal radius fracture. However, the manipulative reduction and splint external fixation is more beneficial to the anatomic reduction of fracture, which kind of treatment to be selected in clinic should be based on specific conditions.
    KEYWORDS: manipulation and splint external fixation; open reduction and internal fixation; distal radius fracture

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