摘要目的:探讨经掌侧入路锁定加压钢板内固定治疗不稳定右桡骨远端骨折的临床疗效。方法:回顾性分析我院于2014年6月至2017年6月收治的行掌侧入路锁定加压钢板内固定治疗的不稳定右桡骨远端骨折患者53例,观察患者临床疗效、骨折愈合情况、腕关节恢复情况、术后并发症发生情况。结果:末次随访根据Gartland and Werlkey功能评分发现手术治疗优良率为94.34%;末次随访患者掌倾角、尺偏角、桡骨长度相对术前均有明显改善(P<0.05);53例患者术后均未见并发症发生;骨折愈合时间为(8.45±1.47)周;至末次随访,腕关节活动度恢复至健侧78%~100%,握力恢复至健侧72%~91%。结论:经掌侧入路锁定加压钢板内固定治疗不稳定右桡骨远端骨折临床疗效较好,可最大程度恢复桡骨长度、掌倾角、尺偏角,且术后腕关节恢复良好,术后未见并发症发生。
Abstract：Objective: To explore the clinical effect of locking compression plate internal fixation through palmar approach in the treatment of unstable distal right radius fractures. Methods: 53 patients with unstable distal right radius fractures in our hospital from June 2014 to June 2017 treated with locking compression plate internal fixation through palmar approach were used as study objects, the clinical efficacy, fracture healing, wrist recovery and postoperative complications were observed. Results: According to the Gartland and Werlkey functional score at the last follow-up, the excellent and good rate of surgical treatment was 94.34%; the palmar inclination, ulnar angle and radius length were significantly improved in the last follow-up (P<0.05); no complications were found in 53 patients after operation; the time of fracture healing was (8.45±1.47) weeks; at the end of follow-up, wrist mobility returned to 78%~100% of the healthy side, and the grip strength returned to 72%~91% of the healthy side. Conclusion: The treatment of unstable distal radius fracture with locking compression plate through palmar approach has good clinical effect. It can restore radius length, palmar inclination angle and ulnar deflection to the greatest extent, and wrist joint recovers well after operation. No complications occur after operation.
王峰, 罗艳霞. 经掌侧入路锁定加压钢板内固定治疗不稳定右桡骨 远端骨折的临床研究[J]. 河北医学, 2019, 25(4): 648-650.
WANG Feng, et al. Clinical Study of Locking Compression Plate Internal Fixation Through Palmar Approach in the Treatment of Unstable Distal Right Radius Fractures. HeBei Med, 2019, 25(4): 648-650.
2019, Vol. 25 
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