[1]马永刚,王伟,王坤正.接骨板内固定与手法复位石膏外固定治疗老年桡骨远端关节内骨折的疗效比较[J].中华老年骨科与康复电子杂志,2017,(02):65-69.[doi:10.3877/cma.j.issn.2096-0263.2017.02.001]
　MaYonggang,Wang Wei,Wang Kunzheng.Comparison of efficacy between plate fixation with manual reduction and plaster external fixation in elderly intra-articular distal radial fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(02):65-69.[doi:10.3877/cma.j.issn.2096-0263.2017.02.001]
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接骨板内固定与手法复位石膏外固定治疗老年桡骨远端关节内骨折的疗效比较()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2017年02期
页码:
65-69
栏目:
论著
出版日期:
2017-03-25

文章信息/Info

Title:
Comparison of efficacy between plate fixation with manual reduction and plaster external fixation in elderly intra-articular distal radial fractures
作者:
马永刚 1; 王伟 2; 王坤正 2
719000 陕西省榆林市第二医院骨二科 1；710004 西安交通大学医学院第二附属医院骨一科 2
Author(s):
MaYonggang1;  Wang Wei2;  Wang Kunzheng2
1The Second Bone Two Division, Hospitl of Yulin City, Shaanxi Province, Yulin 719000, China; 2Department of Orthopedics, The Second Affiliated Hospital of Xi’an Jiaotong University School of Medicine, Xi’an 710004, China
关键词:
桡骨骨折;  老年人;  骨折固定术;  内固定器;  外固定器
Keywords:
Radius fractures;  Aged;  Fracture fixation;  Internal fixators;  External fixators
DOI:
10.3877/cma.j.issn.2096-0263.2017.02.001
文献标志码:
A
摘要:
目的 比较接骨板内固定与手法复位石膏外固定治疗老年桡骨远端关节内骨折的临床疗效。方法 回顾性分析 2010年 3月至 2014年 10月榆林市第二医院门诊及住院部治疗的桡骨远端 B型及 C型骨折患者共 70例，其中采用接骨板内固定手术治疗的患者 32例（接骨板内固定组），手法复位石膏外固定治疗的患者 38例（手法复位石膏外固定组），术后两组患者均进行系统康复训练，分析并比较两组患者的 Gartland-Werley腕关节功能评分。结果 所有患者均获得成功随访，接骨板内固定组随访时间为 9～12个月，平均（11±2）个月；石膏外固定组为 8～12个月，平均（11±2）个月。Gartland-Werley腕关节功能评分，接骨板内固定组为（4.8±1.2）分，32例患者中优 16例、良 11例、可 3例、差 2例，优良率为 84%；石膏外固定组为（7.3±1.3）分，优 13例，良 10例，可 9例，差 6例，优良率为 61%。石膏外固定患者的 Gartland-Werley腕关节功能评分及优良率均优于接骨板内固定组，差异均具有统计学意义（t=-7.983， P＜0.01；c2=6.460，P＜0.05）。结论 对于老年桡骨远端关节内骨折，采用接骨板内固定手术治疗效果优于传统手法复位石膏外固定治疗。
Abstract:
Objective To compare the clinical efficacy of internal plate fixation with manual reduction and plaster external in elderly intra- articular fracture of distal radius. Methods A retrospective analysis was performed in 70 cases of outpatients and hospitalized distal radius fracture with type B and type C from 2010 to 2014 in hospital of Yulin City, they were divided into two groups according to different treatment methods, with 32 cases in plate internal fixation group and 38 cases in manipulative reduction and plaster external fixation group. All patients received postoperative rehabilitation systematically, Compared the Gartland-Werley wrist function score between the two groups. Results Patients in plate internal fixation group were followed-up with a timespan of 9-12 months (11±2 months on average), patients in external fixation group were followed-up with a time span of 8-12 months (11±2 months on average). The GartlandWerley wrist score of internal fixation group was 4.8± 1.2, according to Gartland-Werley wrist score, 16 cases were excellent, 11 good, 3 fair and 2 poor, with the excellent rate of 84% . The Gartland-Werley wrist score of plaster external fixation group was 7.3±1.3, 13 cases were excellent, 10 good, 9 fair, 6 poor, with the excellent rate of 61%. The excellent rate were statistically significant different between two groups (c2= 6.460, P<0.05), as well as Gartland- Werley wrist score (t=- 7.983, P<0.05). Conclusion Internal plate fixation is superior than the traditional manual reduction and plaster external fixation in Senile articular distal radial fractures.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81472068）
更新日期/Last Update: 2017-04-01