Abstract：Objective:To explore the clinical effects of external fixation and DVR anatomical locking plate in the treatment of type C distal radius fractures. Methods: Eighty patients with type C distal radius fracture treated in our hospital from August 2015 to June 2017 were retrospectively analyzed. They were divided into group A (DVR anatomical locking plate) and group B (external fixator) according to different surgical methods. The operative effect and postoperative recovery of the two groups were analyzed. Evaluation analysis. Results: The ulnar and palmar angles of group A were significantly better than those of group B (P<0.05). At 3 months, 6 months and 12 months after operation, the Gartland_Werlev score of wrist joint in group A was significantly lower than that in group B (P<0.05). Conclusion: The use of DVR anatomical locking plate and external fixation for the treatment of type C distal radius fractures can effectively promote the recovery of postoperative wrist function, but compared with external fixation, DVR anatomical locking plate can be used to treat such patients. More effective fixation effect is conducive to the early development of functional exercise in patients, and has a very positive effect on promoting the recovery of wrist function. It is recommended to be applied in clinic.
张昕,白志强. 外固定架与DVR解剖锁定板治疗C型桡骨远端骨折的临床疗效比较分析[J]. 河北医学, 2018, 24(12): 2092-2095.
ZHANG Xin, BAI Zhiqiang. Comparative Analysis of Clinical Effects of External Fixator and DVR Anatomical Locking Plate in the treatment of Type C Distal Radius Fracture. HeBei Med, 2018, 24(12): 2092-2095.
[1] 姜新华,禹宝庆,王永安,等.掌侧柱锁定接骨板治疗桡骨远端C型骨折的疗效分析[J].中华骨与关节外科杂志,2015,8(2):157~160. [2] 黄卫国,马栋.掌侧锁定钛板与外固定架治疗C型桡骨远端骨折的中期疗效比较[J].中华骨科杂志,2015,35(7):734~740. [3] 桑梓英,唐建军,王长鑫.掌侧锁定加压钛板与外固定支架治疗不稳定桡骨远端C型骨折的临床疗效分析[J].重庆医学,2018,47(8):1049~1051. [4] 张晋,梁正忠,廖湘波,等.掌侧锁定加压钢板治疗桡骨远端C型骨折的临床观察[J].昆明医科大学学报,2015,36(3):159~160. [5] 李强,刘国辉,杨述华,等.掌侧锁定加压钢板治疗桡骨远端C型骨折[J].临床骨科杂志,2013,16(2):217~218. [6] Lawrence T M,Ahmadi S,Morrey B F,et al.Wound complications after distal humerus fracture fixation:incidence,risk factors,and outcome[J].Shoulder Elbow Surg,2014,23(2):258~264. [7] Shearin J W,Chapman T R,Miller A,et al.Ulnar Nerve Management with Distal Humerus Fracture Fixation:A Meta-Analysis[J].Hand Clin,2018,34(1):97~103. [8] Chou Y C,Hsu Y H,Yu Y H,et al.Triceps-reflecting anconeus pedicle approach with double precontoured locking plate fixation is efficient in the treatment of orthopaedic trauma association type C distal humerus fracture[J].Injury,2016,47(10):2240~2246. [9] 朱良运.T型锁定接骨板和万向双柱锁定接骨板对桡骨远端外伤性C型骨折的疗效对比分析[J].解放军医药杂志,2015,27(12):95~98. [10] Abzug J M,Ho C A,Ritzman T F,et al.Transphyseal Distal Humerus Fracture[J].Instr Course Lect,2016,65:379~384. [11] Trikha V,Agrawal P,Das S,et al.Functional outcome of extra-articular distal humerus fracture fixation using a single locking plate:A retrospective study[J].Orthop Surg(Hong Kong),2017,25(3):613388236.
2018, Vol. 24 
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