| 崔志远,刘成.克氏针与锁定钢板内固定治疗老年Frykman Ⅲ型骨折临床疗效比较[J].济宁医学院学报,2019,42(1):32-36 |
| 克氏针与锁定钢板内固定治疗老年Frykman Ⅲ型骨折临床疗效比较 |
| The comparison of clinical effect of kirschner and locking plate in treating Frykman type Ⅲ distal radius fracture in elderly patients |
| 投稿时间：2018-12-15 |
| DOI：10.3969/j.issn.1000-9760.2019.01.008 |
| 中文关键词: 克氏针;锁定钢板;老年;Frykman Ⅲ型骨折 |
| 英文关键词: Kirschner wire;Locking plate;Elderly patients;Frykman type Ⅲ fracture;Clinical effects |
| 基金项目: |
| 作者 | 单位 | | 崔志远 | 泰州市第二人民医院, 泰州 225500
天津市天津医院, 天津 300211 | | 刘成 | 泰州市第二人民医院, 泰州 225500
天津市天津医院, 天津 300211 |
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| 中文摘要: |
| 目的 比较克氏针内固定与锁定钢板内固定治疗老年新鲜Frykman Ⅲ型骨折的效果。方法 择选我院2006年6月至2018年4月因Frykman Ⅲ型桡骨远端新鲜骨折的老年患者90例，依手术治疗方式分为A、B组。A组45例，予以切开复位锁定钢板内固定；B组45例，予以闭合复位克氏针内固定。比较A、B组术前及术后6周、6个月的掌倾角、尺偏角、桡骨高度等影像学指标，以及两组术后的GW（Gartland-Werley，GW）评分、PRWE（Patient-Rated Wrist Evaluation，PRWE）评分和并发症情况。结果 本研究病例均获得至少6个月的临床随访。两组术后掌倾角、尺偏角、桡骨高度随着时间变化而变化，均获得满意恢复，A组优于B组，差异均有统计学意义（P<0.05）；除了术后6个月的GW评分外，术后A组GW评分和PRWE评分均优于B组，差异有统计学意义（P<0.05）。A组有1例发生腕管综合征；B组有1例发生腕管综合征，1例发生骨折二次移位，1例发生创伤性骨性关节炎。结论 克氏针内固定与锁定钢板内固定治疗老年新鲜桡骨远端Frykman Ⅲ型骨折均可获得较好疗效，锁定钢板内固定的治疗效果优于克氏针固定。 |
| 英文摘要: |
| Objective To compare the clinical effect of Kirschner wire fixation and locking plate internal fixation in the treatment of elderly patients with fresh Frykman Ⅲ distal radius fractures.Methods 90 elderly patients with fresh Frykman Ⅲ type distal radius fractures in our hospital were selected.The study time is from June 2006 to April 2018.It is divided into groups A and B according to different treatment methods.In group A,45 cases were treated by open reduction with locking plate internal fixation.In group B,45 cases were treated with closed reduction and Kirschner wire fixation.To compare the imaging parameters such as the inclination of the palm,ulnar angle and tibia height,pre-operation and six weeks or six months after operation in group A and B.The GW score,PRWE score and postoperative complications after treatment were also compared.Results All cases were followed up for at least six months.The inclination of the palm,ulnar angle and tibia height after operation were all satisfactory.The difference was statistically significant (P<0.05).The results of group A were better than those of group B.Except for the GW score of six months after operation,the GW score and PRWE score of group A were better than those of group B,and the difference was statistically significant (P<0.05).In group A,there were one cases of carpal tunnel syndrome.In group B,there were one cases of carpal tunnel syndrome,two shift of fracture in one cases,and traumatic osteoarthritis in one caes.Conclusion The clinical effect of Kirschner wire fixation and locking plate internal fixation in the treatment of elderly patients with fresh Frykman Ⅲ distal radius fractures are both good.The effect of locking plate internal fixation is better than Kirschner wire fixation. |
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