掌侧锁定加压钢板内固定与背侧双钢板内固定治疗桡骨远端C型骨折的临床效果分析

摘要

目的：探讨掌侧锁定加压钢板内固定与背侧双钢板内固定治疗桡骨远端C型骨折的临床效果。方法选取2009年6月至2014年6月本院收治的62例桡骨远端C型骨折患者为研究对象，以手术入路不同将其分为观察组（30例）和对照组（32例）。观察组患者行背侧双钢板内固定，对照组患者行掌侧锁定加压钢板内固定。比较两组患者手术时间、骨折愈合时间、桡骨掌倾角、桡骨尺偏角、桡骨高度、腕关节活动度、术后早期及远期并发症发生情况及治疗总有效率。结果观察组患者治疗总有效率显著高于对照组（P＜0.05）；术后6个月，观察组患者桡骨掌倾角、尺偏角、桡骨高度、腕关节活动度（旋前、旋后、屈曲、背伸）均明显大于对照组（P＜0.05）；手术时间、骨折愈合时间、术后早期及远期并发症发生率与对照组比较差异均无显著性（P＞0.05）。结论背侧双钢板内固定治疗桡骨远端C型骨折总有效率及腕关节功能恢复情况均显著优于掌侧锁定加压钢板内固定，但术后早期及远期并发症发生率比较均无显著差异。%ObjectiveTo explore the clinical effects of volar locking compression plate internal fixation and dorsal dual-plate internalfixation in the treatment of C type fractures of distal radius.MethodSelected 62 patients with C type fracture of distal radius from June 2009 to June 2014 in our hospital as the research objects, all of them were divided into observation group (30 cases) and control group (32 cases) according to the operation approach. Observation group patients were treated with dorsal dual-plate internalfixation, and control group patients were treated with volar locking compression plate internal fixation. Observed and compared the operation time, fracture healing time, radial palm tilting angle, ulnar inclination, radial height, ranges of motion of the wrist joints, incidence of postoperative short-term and long-term complications and the total effective rates between the two groups.ResultThe total effective rate of observation group was significantly higher than control group (P<0.05); the radial palm tilting, ulnar inclination, radial height, ranges of motion of the wrist joints (supination, rotation,flexion and dorsal extensor) were significantly more than control group (P<0.05); there were no significant differences in operation time, fracture healing time and the incidence of postoperative complications between the two groups (P>0.05).ConclusionCompared with volar locking compression plate internalfixation, dual-plate internalfixation can ensure a higher total effective rate and a large range of motion of the wrist joint in the treatment of C type fractures of distal radius. However, the incidence of short-term and long-term complications of the two therapeutic method are not significantly different.