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| Effects of Minimally Invasive Wrist Arthroscopic Surgery on the Improvement of Wrist Joint Function and Postoperative Complications in Patients with Unstable Distal Radius Fractures |
| LI Xinxia, SHEN Lilin, LIU Yong |
| Jinan People's Hospital, Shandong Jinan 271100, China |
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Abstract Objective: To observe the effect of minimally invasive wrist arthroscopic surgery on the improvement of wrist joint function and postoperative complications in patients with unstable distal radius fractures. Methods: Clinical data of 151 patients with unstable distal radius fractures treated in Jinan People's Hospital from January 2018 to January 2021 were collected. According to the surgical regimens, patients were divided into minimally invasive group (n=73) and traditional group (n=78). The traditional group received traditional open reduction and internal fixation surgery, and the minimally invasive group received minimally invasive wrist arthroscopic surgery. The function of wrist joint, the effect of fracture reduction, the related recovery indicators and the incidence of complications before and after operation were statistically compared. Results: The operation time of minimally invasive group was significantly longer than that of control group (P<0.05), but the amount of intraoperative blood loss, length of hospital stay and fracture healing time were significantly less or shorter than those of traditional group (P<0.05). Six months after surgery, the excellent and good rate of wrist joint function in the minimally invasive group was significantly higher than that in the traditional group, the degree of shortening of VA radius and palm angle was significantly lower than that in the traditional group, and the ulnar angle was significantly higher than that in the traditional group, with statistical significance (P<0.05). There was no statistical significance between the two groups in the above indexes (P>0.05). The incidence of postoperative complications in minimally invasive group was significantly lower than that in traditional group (P<0.05). Conclusion: Minimally invasive wrist arthroscopic surgery can effectively promote the postoperative recovery of patients with unstable distal radius fracture, and the reduction effect is obvious, which is conducive to fracture healing and wrist joint function recovery with fewer complications. It can be promoted in clinical practice.
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2022, Vol. 28 
