创伤性桡骨远端骨折固定术后腕关节功能恢复不良的危险因素研究

doi:10.3969/j.issn.1006-6233.2020.02.035

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1563 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To explore the risk factors of wrist joint recovery after traumatic distal radius fracture fixation. Methods: From August 2011 to October 2017, 98 patients with traumatic distal radius fracture were selected and divided into good group and bad group according to the recovery effect of wrist joint 6 months after operation. The clinical characteristics of the two groups were compared, including sex, age, body mass index, time of treatment, osteoporosis, fracture type, fracture AO classification, injury energy, fracture of styloid process of ulna, last reexamination of palm angle, last reexamination of radial shortening and functional exercise. Logistic regression model was used to analyze the risk factors of poor wrist joint recovery after fixation of traumatic distal radius fracture. Results: Among the 98 patients, 26 cases recovered poorly, accounting for 26.53%, 72 cases recovered well, accounting for 73.47%. The proportion of irregular exercise was 53.85%, 65.38%, 57.69%, 46.15%, 46.15% and 42.31% in the poor group, which was higher than 31.94%, 15.28%, 16.67%, 16.67%, 15.28%, 9.72% in the good group (P<0.05). Logistic regression analysis showed that age (> 65 years), osteoporosis, comminuted fracture, palmar tilt angle at the last reexamination (< 10 degrees), radial shortening (> 5mm) at the last reexamination, and functional exercise (irregular) were the risk factors for poor wrist recovery (P<0.05). Conclusion: The poor recovery of wrist joint after internal fixation of traumatic distal radius fracture is closely related to age ≥ 65 years old, osteoporosis, comminuted fracture, palm angle < 10 度, radius shortening ≥ 5mm and irregular functional exercise.

Key words： Traumatic distal radius fracture Wrist joint recovery Risk factors Radial shortening

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2020.02.035 OR http://www.hbyxzzs.cn/EN/Y2020/V26/I2/315

[1] Fok M W M, Fang C X, Lau T W, et al. The status of triangular fibrocartilage complex after the union of distal radius fractures with internal plate fixation[J]. International Orthopaedics, 2018, 42(8):1~6.
[2] Eltorai A E, Sobel A D, Jr T N, et al. Update on Distal Radius Fractures[J]. Orthopedics, 2017, 40(3):145~152.
[3] 汤锦波.桡骨远端骨折[M].上海:上海科学技术出版社,2013.1~13.
[4] Atkinson C T, Streubel P N, Watson J. Distal Radius Fractures[J]. Trauma Und Berufskrankheit, 2013, 21(3):1~12.
[5] Mulders M A, D'Ailly P N, Cleffken B I, et al. Corrective osteotomy is an effective method of treating distal radius malunions with good long-term functional results[J]. Injury-international Journal of the Care of the Injured, 2017, 48(3):731~737.
[6] Fan J, Jiang B, Wang B, et al. Analysis of soft-tissue complications of volar plate fixation for managing distal radius fractures and clinical effect while preserving pronator quadratus[J]. ActaOrthopaedicaBelgica, 2016, 82(2):305~312.
[7] Cauley J A. Osteoporosis: fracture epidemiology update 2016.[J]. Current Opinion in Rheumatology, 2017, 29(2):150~156.
[8] Pietschmann P, Mechtcheriakova D, Meshcheryakova A, et al. Immunology of Osteoporosis: A Mini-Review.[J]. Gerontology, 2016, 62(2):128~137.
[9] Saurabh J, Sunil R, Abhishek S. Severely comminuted radius fracture presenting as a signature patterned injury:[J]. Indian Journal of Orthopaedics, 2016, 50(2):213~217.
[10] 缪杰佳,沈钊雄,李逸群.桡骨远端骨折治疗策略及相关研究进展[J].医学研究生学报,2017,30(5):551~555.
[11] 张卫红,王玉强,王利民,等.桡骨远端骨折患者掌倾角的测量与诊疗价值[J].中国矫形外科杂志,2018,26(10):875~878.
[12] Macintyre N J, Dewan N. Epidemiology of distal radius fractures and factors predicting risk and prognosis[J]. Journal of Hand Therapy, 2016, 29(2):136~145.