微创内固定支架经皮微创内固定技术治疗对C型老年桡骨远端骨折患者腕关节功能的影响
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摘要
目的分析微创内固定支架经皮微创内固定技术治疗对C型老年桡骨远端骨折患者腕关节功能的影响。方法随机选取2012年5月至2016年5月期间在我们医院骨科就诊的C型老年桡骨远端骨折患者136例,分为微创内固定支架经皮微创内固定技术组(试验组)和外固定组(对照组),各68例,利用腕关节Gartland-Werley评分标准评价患者手术后的临床效果,最后通过SPSS 20.0统计学软件对本次研究所得数据进行分析。结果试验组的背甚度高于对照组(75.4±12.72 vs. 66.5±9.04),试验组的掌屈度高于对照组(61.27±9.43 vs. 53.51±5.82),试验组的旋前度高于对照组(77.01±7.34 vs. 69.24±4.61),试验组的旋后度高于对照组(73.76±8.22 vs. 62.36±5.46),试验组的Gartland-Werley评分低于对照组(2.36±1.24 vs. 8.61±6.69),两组之间比较差异有统计学意义(P<0.05)。结论微创内固定支架经皮微创内固定技术治疗C型老年桡骨远端骨折患者过程中,骨内固定效果更好,腕关节功能恢复更快,术后并发症发生概率更小,值得推广应用。
Objective To analyze the effect of minimally invasive percutaneous internal fixation technique on wrist joint function in patients with type C distal radius fractures. Methods 136 patients with type C distal radi-us fracture were randomly selected in our hospital during medical treatment from May 2012 to May 2016. Patients were divided into a minimally invasive internal fixation with minimally invasive percutaneous internal fixation group(experimental group)and an external fixation group(control group),which respectively has 68 cases. Wrist Gart-land-Werley standard was used for evaluation of postoperative effect evaluation. Data were analyzed with SPSS20.0 statistical software. Results The degree of palmar flexion of the experimental group was higher than that of the control group(75.4 ± 12.72 vs. 66.5 ± 9.04). The degree of flexion of the test group was higher than that of the con-trol group(61.27 ± 9.43 vs. 53.51 ± 5.82)(73.76 ± 8.22 vs. 62.36 ± 5.46)in the control group(77.01 ± 7.34 vs.69.24 ± 4.61). The Gartland-Werley score of the test group was lower than that of the control group(2.36 ± 1.24 vs. 8.61 ± 6.69). There were significant differences between the two groups(P < 0.05). Conclusions Minimally invasive internal fixation with percutaneous minimally invasive internal fixation in the treatment of C-type elderly distal radius fractures has better internal fixation,faster recovery of wrist function and a lower incidence of postop-erative complications,which is worth promotion.
Objective To analyze the effect of minimally invasive percutaneous internal fixation technique on wrist joint function in patients with type C distal radius fractures. Methods 136 patients with type C distal radi-us fracture were randomly selected in our hospital during medical treatment from May 2012 to May 2016. Patients were divided into a minimally invasive internal fixation with minimally invasive percutaneous internal fixation group(experimental group)and an external fixation group(control group),which respectively has 68 cases. Wrist Gart-land-Werley standard was used for evaluation of postoperative effect evaluation. Data were analyzed with SPSS20.0 statistical software. Results The degree of palmar flexion of the experimental group was higher than that of the control group(75.4 ± 12.72 vs. 66.5 ± 9.04). The degree of flexion of the test group was higher than that of the con-trol group(61.27 ± 9.43 vs. 53.51 ± 5.82)(73.76 ± 8.22 vs. 62.36 ± 5.46)in the control group(77.01 ± 7.34 vs.69.24 ± 4.61). The Gartland-Werley score of the test group was lower than that of the control group(2.36 ± 1.24 vs. 8.61 ± 6.69). There were significant differences between the two groups(P < 0.05). Conclusions Minimally invasive internal fixation with percutaneous minimally invasive internal fixation in the treatment of C-type elderly distal radius fractures has better internal fixation,faster recovery of wrist function and a lower incidence of postop-erative complications,which is worth promotion.
引文
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[12]IIDAKA T,MURAKI S,OKA H,et al.Radiographic measurementsof the hip joint and their associations with hip pain inJapanese men and women:the Research onOsteoarthritis/osteoporosis Against Disability(ROAD)study[J].Osteoarthritis Cartilage,2017,8(24):1063-1065.
[13]樊晓臣,翁柳杰.旋后位石膏固定治疗老年桡骨远端骨折临床分析[J].实用医学杂志,2015,31(6):1038-1039.
[14]HAN L R,JIN C X,YAN J,et al.Effectiveness of external fixator combinedwith T-plate internal fixation for the treatment of comminuted distal radiusfractures[J].J Hand Surg Am,2015,14(1):2912-2919.
[15]MA C H,WU C H,JIANG J R,et al.Corrigendum toMetaphyseal locking plate as an external fixator for open tibial fracture:Clinical outcomes and biomechanical assessmen[J].International Orthopaedics,2017,48(2):501-508.
[2]GABALL C,LOVALD S B.Minimally invasive bioabsorbable bone plates for rigid internal fixation of mandible fractures[J].J Orthop Trauma,2015,7(1)131-137.
[3]MA J J,ZHOU X Q.Clinical study of internal rigid fixation of zygomatic fracture through percutaneous minimally invasive approach].[J].Hand Clin,2015,14(2)192-203.
[4]BRUNNER A,WELLER K,THORMANN S,et al.Closed reduction and minimally invasive percutaneous fixation of proximal humerus fractures using the Humerusblock[J].J Orthop Trauma,2016,2(3)247-253.
[5]LI I,TRLE C B,CLEGG P D,et al.Biomarkersfor equine joint injury and osteoarthritis[J].Orthopedics,2016,39(5):970-975.
[6]KOHATA K,ITOH S,HORIUCHI N,et al.Influences of osteoarthritisand osteoporosis on the electrical properties of humanbones as in vivo electrets produced due to Wolff′s la[J].Biomed Mater Eng,2017,28(1):65-74.
[7]孙强,董新利,郑加法.T形锁定钢板联合克氏针治疗老年桡骨远端C型骨折[J].实用医学杂志,2012,22(20):3491-3492.
[8]ZELI Z,CHAO W U,XU L,et al.Effectiveness comparison between minimally invasive surgery and traditional open reduction internal fixation in treatment of unstable distal radial fractures[J].Ann R Coll Surg Engl,2018,32(3):322.
[9]WANG R,XU W W,Orthopaedics D O.Minimally invasive plate internal fixation in limb fracture patients complicated with stress ulcer:Efficacy and impact on quality of life[J].Hand Clin,2017,25(12):1123.
[10]BERENBAUM F,GRIFFIN T M,LIU-BRYAN R.Metabolicregulation of inflammation in osteoarthritis[J].Arthritis Rheumatism,2017,69(27):9-21.
[11]黄雪萍,刘洁珍,谢青梅,等.锁定加压接骨板内固定与早期功能训练对桡骨远端骨折术后腕关节功能康复的影响[J].实用医学杂志,2013,29(14):2343-2344.
[12]IIDAKA T,MURAKI S,OKA H,et al.Radiographic measurementsof the hip joint and their associations with hip pain inJapanese men and women:the Research onOsteoarthritis/osteoporosis Against Disability(ROAD)study[J].Osteoarthritis Cartilage,2017,8(24):1063-1065.
[13]樊晓臣,翁柳杰.旋后位石膏固定治疗老年桡骨远端骨折临床分析[J].实用医学杂志,2015,31(6):1038-1039.
[14]HAN L R,JIN C X,YAN J,et al.Effectiveness of external fixator combinedwith T-plate internal fixation for the treatment of comminuted distal radiusfractures[J].J Hand Surg Am,2015,14(1):2912-2919.
[15]MA C H,WU C H,JIANG J R,et al.Corrigendum toMetaphyseal locking plate as an external fixator for open tibial fracture:Clinical outcomes and biomechanical assessmen[J].International Orthopaedics,2017,48(2):501-508.
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