【摘要】 目的探讨掌侧与背侧入路切开复位内固定治疗C型桡骨远端骨折的疗效。方法选取自2013年1月~2015年12月骨科收治的47例C型桡骨远端骨折患者作为研究对象,根据患者接受的复位内固定手术的方式将患者分为掌侧组和背侧组;分析两组间术后并发症、愈合时间、术后6个月影像学检查结果和腕关节功能评分的差异。结果掌侧组患者的Gartland-Werley评分优于背侧组,差异有统计学意义(P<0.05),掌侧组并发症发生率为15.4%,背侧组为33.3%,两组差异有统计学意义(P<0.05)。而2组间愈合时间、术后6个月影像学检查结果和肩手功能(DASH)评分的差异无统计学意义(P>0.05)。结论对于C型桡骨远端骨折患者治疗,掌侧入路切开复位内固定治疗优于背侧入路切开复位内固定治疗。更多还原

【Abstract】 Objective To explore the curative effect of different approach of volar and dorsal in treatment of type C distal radius fractures. Methods 47 cases of patients with type C distal radius fractures cured in department of orthopaedics of our hospital from January 2013 to December 2015 were selected as the study objects. According to the method of reduction and internal fixation, they were divided into volar group and dorsal group. The postoperative complications, healing time, imaging findings and wrist function score of 6 months after operation of the two groups were compared. Results The Gartland-Werley score of the patients in the palm group was better than that in the dorsal group, and the difference was statistically significant(P < 0.05). The incidence of complications in the palmar group was 15.4%, and that of the dorsal group was 33.3%. The difference between the two groups was statistically significant(P < 0.05). However, there was no significant difference between the 2 groups in the healing time, the imaging examination results and the shoulder hand function(DASH) score between the 6 groups(P > 0.05). Conclusion For the treatment of type C distal radius fractures, open reduction and internal fixation through volar approach is better than open reduction and internal fixation for the treatment of posterior approach.更多还原