摘要
目的对比分析手法复位石膏外固定、有限内固定加外固定架固定和掌侧斜T形钢板内固定治疗老年桡骨远端粉碎性骨折的疗效。方法2000年1月～2004年9月,我院共收治178例60岁以上老年桡骨远端粉碎性骨折患者,手法复位石膏外固定102例,闭合或小切口复位克氏针有限内固定加外固定架固定46例,掌侧斜T形钢板内固定30例,随访比较不同治疗方法的疗效。结果所有患者随访13～52个月,平均27个月,按Dienst功能评估标准进行评定,手法复位石膏外固定组优良率为78.4%,有限内固定加外固定架固定组优良率为93.5%,掌侧斜T形钢板内固定组优良率为80.0%,有限内固定加外固定架固定组疗效明显优于石膏外固定及掌侧斜T形钢板固定组,差异有极显著性意义(P<0.01);石膏外固定与掌侧斜T形钢板固定组间疗效无显著差异(P>0.05)。结论对于老年桡骨远端粉碎性骨折,有限内固定加外固定架固定组疗效优于手法复位石膏外固定组和钢板内固定组。
Objective To compare the clinical results of operation and manual reduction and plaster immobilization in management of senile comminuted distal radial fractures. Methods Retrospective analysis of the clinical data was done for the 178 senile patients with comminuted distal radial fracture who were treated from Jan- uary 2000 to September 2004 in our department. 102 cases were treated with manual reduction and plaster immobilization, 46 cases with external fixator and limited internal fixation, and 30 cases with T-plate internal fixation. Results Follow-up duration averaged 27 months （13 to 52 months） . According to Dienst criteria, the excellent rate of functional outcome was 93.5% for external fixator combined with limited internal fixation, 78.4% for manual reduction and plaster immobilization and 80. 0% for T-plate internal fixation. The differences were statistically significant （ P 〈 0. 01） . Conclusion In treatment of senile comminuted distal radius fractures, external fixator combined with limited internal fixation can produce more satisfactory effects than either manual reduction and plaster immobilization or T-plate internal fixation.
出处
《中华创伤骨科杂志》
CAS
CSCD
2006年第3期225-228,共4页
Chinese Journal of Orthopaedic Trauma
关键词
桡骨远端骨折
粉碎性
内固定
外固定架
老年
Distal radius
Fracture, comminuted
Internal fixation
External fixator
Senile
