髓内固定与掌锁定钢板内固定治疗关节内桡骨远端骨折临床疗效比较

摘要

目的：探讨髓内固定和掌锁定钢板内固定治疗关节内桡骨远端骨折临床疗效。方法选取2013年6月至2014年6月期间收治的57例关节内桡骨远端骨折患者，根据其治疗方法，将其分成髓内固定组和掌锁定钢板内固定组，比较两组患者的临床资料、骨折愈合时间和腕关节功能恢复情况以及术后并发症发生率。结果髓内固定组患者骨折愈合时间（4.7±1.0周）显著低于掌锁定钢板内固定组（5.9±1.3周）（ P 0. 05). The healing time of intramedullary fixation group(4. 7 ± 1. 0 weeks)was significantly lower than that in the palm locking plate fixation group(5. 9 ± 1. 3 weeks)( P < 0. 05). The good rate of Gartland and Werley wrist score of intramedullary fixation group(93. 5% ) was significantly higher than in the palm locking plate fixation group(76. 9% )( P < 0. 05). The postoperative complication rate of intramedul-lary fixation group(9. 7% )was significantly lower than that of the palm locking plate fixation group(53. 8% )( P < 0. 05). Conclusion The clinical efficacy of intramedullary repair device in the reconstruction of distal radius fractures was significant effect and security,and the complica-tion rate was low. It was worthy of clinical application.