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Clinical Study of Locking Compression Plate Internal Fixation Through Palmar Approach in the Treatment of Unstable Distal Right Radius Fractures |
WANG Feng, et al |
Tengzhou Worker's Hospital of Shandong, Shandong Tengzhou 277500, China |
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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.
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