锁定钢板及普通T型钢板治疗桡骨远端不稳定骨折的疗效比较

摘要

Objective To discuss clinical efficacy of locking plate and ordinary T-plate for unstable distal radius fractures.MethodsClinical data of 58 cases with unstable distal radius fractures from Jun 2014 to Dec 2014 were respectively analyzed. 23 cases of group of locking plat were treated with locking plate, and 35 cases of group of ordinary T-plate were treated with ordinary T-plate. Clinical efficacy of two groups was compared.Results Excellent rate of group of ordinary T-plate was 62.9%,and group of locking plate was 91.3%, which showed significant difference between two groups(P<0.05). After treatment, palmar angle and ulnar deviation of group of locking plate were higher than group of ordinary T-plate, which showed significant difference between two groups(P<0.05); The incidence of postoperative complications of group of locking plate was lower than group of ordinary T-plate, which showed significant difference between two groups(P<0.05).ConclusionCompared with ordinary T-plate, locking plate for unstable distal radius fractures shows better clinical efficacy, worthy of clinical promotion.%目的：比较锁定钢板和普通T型钢板治疗桡骨远端不稳定骨折的临床疗效。方法回归性分析2013年6月~2014年12月在我院治疗的桡骨远端不稳定骨折58的临床资料。其中23例患者采用锁定钢板治疗，为锁定钢板组，35例患者采用普通T型钢板治疗，比较两组的临床疗效。结果普通T型钢板组优良率为62.9％，锁定钢板组优良率为91.3％，两组比较，差异有统计学意义（P＜0.05）。治疗后，锁定钢板组掌倾角、尺偏角显著高于普通T型钢板组，差异有统计学意义（P＜0.05）；锁定钢板组术后并发症发生率显著低于普通T型钢板组，差异有统计学意义（P＜0.05）。结论锁定钢板治疗桡骨远端不稳定骨折与普通T型钢板比较具有更好的临床疗效，值得临床推广。