[1]金建强,张骏,陆逸庭,等.解剖型桡骨远端掌侧锁定接骨板治疗 老年桡骨远端骨折[J].中医正骨,2013,25(12):66-68.
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解剖型桡骨远端掌侧锁定接骨板治疗 老年桡骨远端骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期数:
2013年12期
页码:
66-68
栏目:
临床报道
出版日期:
2013-12-30

文章信息/Info

作者:
金建强1张骏2陆逸庭1李晓林2陈锦平2黄亚增 2金永明2
1.浙江省海宁市第三人民医院,浙江 海宁 314400;
2.浙江省人民医院,浙江 杭州 310014
关键词:
骨质疏松性骨折 桡骨骨折 老年人 骨板
摘要:
目的:探讨解剖型桡骨远端掌侧锁定接骨板内固定治疗老年桡骨远端骨折的临床疗效和安全性。方法:采用解剖型桡骨远 端掌侧锁定接骨板内固定治疗老年桡骨远端骨折患者33例37侧,男9例,女24例。年龄61~77岁,中位数68岁。左侧11例,右侧18例 ,双侧4例。按照AO分型标准,A3型4侧、B2型6侧、B3型7侧、C1型7侧、C2型4侧、C3型9侧。掌倾角-55°~20°,中位数-8°; 尺 偏角5°~25°,中位数14°; 24侧桡骨短缩>5 mm,29侧关节面移位、塌陷>2 mm。所有患者均有不同程度的骨质疏松,5例 合并糖尿病,3例合并其他部位损伤。3例3侧为开放性骨折,其余均为闭合性骨折。术后观察患者的骨折愈合、并发症发生情况, 并评定其腕关节功能。结果:31例(35侧)获得随访,随访时间6~18个月,中位数14个月。31例患者的骨折全部愈合; 掌倾角3°~ 12°,中位数5°; 尺偏角10°~27°,中位数19°; 桡骨茎突较尺骨茎突长0.8~1.1 cm,中位数0.9 cm。术后2例患者发生腕管 综合征,经对症处理后好转。1例患者出现桡神经损伤症状,行神经探查术未发现桡神经卡压,予以对症处理,3个月后桡神经损伤 症状完全消失。按照Dienst关节功能评估标准评定,优19侧、良12侧、可4侧。结论:解剖型桡骨远端掌侧锁定接骨板内固定治疗 老年桡骨远端骨折,固定牢固、骨折愈合率高、术后并发症少、关节功能恢复好,是治疗该类骨折的有效方法。

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备注/Memo

备注/Memo:
2012-11-22收稿 2012-12-29修回
基金项目:浙江省卫生厅医药卫生一般研究计划项目(2012KYB022),浙江省中医药科学研究基金计划项目(2012ZB015),浙江省医 学高等专科学校自然科学基金项目(2011XZB01),浙江省科技厅课题(2012C33069)
通讯作者:张骏 E-mail:spinezhangjun@aliyun.com
更新日期/Last Update: 2013-12-30