两种方法治疗桡骨远端骨折的疗效比较研究

目的:比较采用T形钢板内固定和闭合复位石膏外固定这两种方法治疗桡骨远端骨折的疗效研究。方法:选取我院2008年3月至2011年12月间的76例桡骨远端骨折患者,并按照治疗方法不同分为2组,41例患者进行T形钢板内固定,其余35例患者进行复位后石膏外固定。并借助X线对比分析桡骨远端骨折复位前后及临床愈合时桡骨腕关节的掌倾角、尺偏角及桡骨轴向缩短长度变化等数据,并根据改良的Shea评定法对临床疗效进行比较。结果:针对桡骨远端不稳定型骨折的患者,T形钢板内固定组的优良率要优于石膏外固定组的疗效(P<0.05);而对于稳定性桡骨远端骨折的患者,两组之间的优良率没有明显差异(P>0.05)。结论:对于桡骨远端不稳定骨折的患者,应优先选择T形钢板内固定手术方法,而对于稳定性骨折患者这两种治疗方法均可采用。

Comparison Study of the Therapeutic Effects of two Methodsfor Distal Radial Fractures*

Objective: To investigate the superiority of the curative effects in treating distal radius fractures by T plate internal fixation and plaster external fixation.Methods: 76 cases of distal radius fracture from 2007.3 to 2011.6 were classified into two groups.There were treated by T plate internal fixation and plaster splint external fixation respectively.The curative effects were detected according to modified Shea assessment measuring the angle of volar deviation,ulnar deviation and the shortened size of radius in axial direction by X-ray before and after treatment.Results: For unstable distal radius fractures,it was prefer to be treated by open reduction and T plate internal fixation(P<0.05).For stable distal radius fractures,there was no difference between internal fixation by T plate and external fixation by plaster splint(P>0.05).Conclusions: For unstable distal radius fractures,it was performed to be treated by open reduction and T plate internal fixation.For stable distal radius fractures,both internal fixation by T plate and external fixation by plaster external fixation could be performed.