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外固定支架结合小夹板外固定术与切开复位内固定术对老年不稳定性桡骨远端骨折患者的疗效及对腕关节功能的影响 预览

The effect of external fixation combined with small splint external fixation and open reduction and internal fixation on the distal unstable fractures of the distal radius and the effect on the wrist function
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摘要 目的分析外固定支架结合小夹板外固定术与切开复位内固定术对老年不稳定性桡骨远端骨折的疗效及对腕关节功能的影响。方法选取本院2014年2月~2017年1月收治的80例老年不稳定性桡骨远端骨折患者,根据治疗方法的不同分为对照组和实验组,每组40例;分别选择切开复位内固定术治疗、外固定支架结合小夹板外固定术治疗,观察比较两组患者的临床疗效和腕关节功能恢复情况。结果实验组手术时间显著短于对照组(P<0.05),两组患者骨折愈合时间比较差异无统计学意义;两组患者治疗后6个月时的桡骨缩短、尺偏角、掌倾角以及Mayo腕关节功能优良率比较差异无统计学意义。结论在对老年不稳定性桡骨远端骨折患者进行治疗时,外固定支架结合小夹板外固定术与切开复位内固定术治疗均能取得比较理想的效果,具有临床应用价值,临床中应结合患者的具体情况选择合理的治疗方式。 Objective To analyze the effect of external fixation combined with small splint external fixation and open reduction and internal fixation on the distal unstable fracture of the distal radius and the effect on the wrist function.Methods 80 patients with unstable distal radius fractures admitted to our hospital from February 2014 to January 2017 were selected,were divided into control group and experimental group according to different treatment methods,40 patients in each group,respectively select open reduction and internal fixation treatment,external fixation combined with small splints external fixation,observation and comparison of the two groups of patients with clinical efficacy and wrist function recovery.Results The operation time of the experimental group was significantly shorter than the control group(P<0.05),the fracture healing time of two groups were no significant difference;after 6 months,there was no significant difference between the angle of the radius,the deviation of the ulnar angle,the angle of the palm and the function of the Mayo wrist.Conclusion In the treatment of elderly patients with unstable distal radius fractures,external fixation combined with small splint external fixation and open reduction and internal fixation can achieve satisfactory results,and have clinical application value.Combined with the specific circumstances of patients choose a reasonable treatment.
出处 《当代医学》 2018年第11期18-20,共3页 Contemporary Medicine
关键词 外固定支架 小夹板外固定 切开复位内固定 老年 不稳定性桡骨远端骨折 External fixation Small splint external fixation Open reduction and internal fixation Elderly Unstable distal radius fracture
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