| 背侧入路外固定架联合克氏针治疗背侧移位的桡骨远端双柱Die-punch骨折的临床效果 |
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投稿时间：2023-12-14 修订日期：2024-02-25
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| 期刊信息：《中国骨伤》年，第卷，第期，第-页 |
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| 中文摘要:目的 探讨背侧入路外固定架联合克氏针治疗背侧移位的桡骨远端双柱Die-punch骨折临床疗效。方法 回顾性分析2020年7月至2022年7月宁波市第六医院创伤骨科应用外固定架联合克氏针治疗的15例桡骨远端双柱Die-punch骨折患者临床资料。男10例，女5例；左侧6例，右侧9例；年龄28~60岁(平均34.5岁), 记录患者术前、末次随访时疼痛视觉模拟评分(VAS)、Cooney腕关节功能评分，并进行疼痛、腕关节活动度及功能评价。记录手术时间、骨折愈合时间，并发症发生情况。结果 15名患者术后获得12～16个月(平均13.5个月)随访，手术时间平均为55.3min（35~64min）。所有骨折均获得骨性愈合，时间8～15周(平均12.5周)。手术后的切口均实现了Ⅰ期的愈合，未出现如伤口感染、外固定装置失效或关节僵硬等并发症。术前与末次随访时患者疼痛VAS评分分别为(6.1±0.9)、(0.5±0.9)分，Cooney腕关节功能评分分别为(37.3±2.9)、(86.3±6.0)分，末次随访时优10例,良4例,可1例。以上指标术前与末次随访时比较差异均有统计学意义(P<0.05)。结论 背侧入路外固定架联合克氏针治疗桡骨远端双柱Die-punch骨折的临床疗效满意. |
| 【关键词】桡骨远端骨折 骨折固定术，内 Die-punch骨折 |
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| Clinical outcomes of treating dorsally displaced distal radial double-column Die-punch fractures using a dorsal approach external fixator combined with Kirschner wires |
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| ABSTRACT 【Abstract】Objective Investigating the clinical efficacy of treating dorsally displaced distal radial double-column Die-punch fractures using a dorsal approach external fixator combined with Kirschner wires. Method We retrospectively analyzed the clinical data of 15 patients with distal radial double-column Die-punch fractures treated with an external fixator combined with Kirschner wire in the Trauma Orthopedics department of Ningbo Sixth Hospital from July 2020 to July 2022. There were 10 males and 5 females; 6 cases on the left side and 9 on the right; ages ranged from 28 to 60 years (average 34.5 years). Patients' pain visual analogue scores (VAS) and Cooney wrist function scores were recorded pre-operation and at the last follow-up, along with evaluations of pain, wrist mobility, and function. The operation time, fracture healing time, and occurrence of complications were recorded. Results The 15 patients were followed up for 12-16 months post-operation (average 13.5 months) with an average surgery time of 55.3 minutes (ranging from 35 to 64 minutes). All fractures achieved bony union, taking 8-15 weeks (average 12.5 weeks). All post-operative incisions healed primarily, with no complications such as wound infections, external fixator failure, or joint stiffness. Pre-operative and last follow-up VAS scores were respectively (6.1±0.9) and (0.5±0.9). Cooney wrist function scores were (37.3±2.9) and (86.3±6.0) respectively. At the last follow-up, 10 cases were rated excellent, 4 good, and 1 fair. The differences in the above indices between the pre-operative period and the last follow-up were statistically significant (P<0.05). Conclusion The clinical efficacy of treating distal radial double-column Die-punch fractures using a dorsal approach external fixator combined with Kirschner wires is satisfactory |
| KEY WORDS Distal radial fracture Fracture fixation, internal Die-punch fractures. |
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