[1]谭新欢 吴青松 隋海明 杨庆民 聂伟志.老年桡骨远端骨折微创治疗的临床研究[J].中国中医骨伤科杂志,2020,28(08):31-35.
　TAN Xinhuan WU Qingsong SUI Haiming YANG Qingmin NIE Weizhi.Minimally Invasive Treatment of Distal Radius Fractures in the Elderly Patient[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(08):31-35.
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老年桡骨远端骨折微创治疗的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年08期
页码:
31-35
栏目:
临床研究
出版日期:
2020-08-10

文章信息/Info

Title:
Minimally Invasive Treatment of Distal Radius Fractures in the Elderly Patient
文章编号:
1005-0205(2020)08-0031-05
作者:
谭新欢1 吴青松1 隋海明1 杨庆民1 聂伟志1
1山东省文登整骨医院(山东 威海,264400)
Author(s):
TAN Xinhuan1 WU Qingsong1 SUI Haiming1 YANG Qingmin1 NIE Weizhi1
1Wendeng Hospital of Traditional Chinese Orthopedics and Traumatology of Shandong Province,Weihai 264400,Shandong China.
关键词:
骨折;  闭合性;  桡骨远端;  回顾性研究
Keywords:
fracture;  closability;  distal radius;  retrospective study
分类号:
R683.41
文献标志码:
A
摘要:
目的:观察手法复位经皮穿针内固定微创治疗老年桡骨远端A和B型骨折的临床疗效和安全性。方法:回顾性分析2013年3月至2018年1月收治的206例老年桡骨远端骨折患者,其中男49例,女157例; 年龄60～70岁,平均65.3岁; 按照AO分型,其中A2型骨折38例,A3型骨折45例,B1型骨折37例,B2型骨折42例,B3型骨折44例; 所有病例全部采用手法复位经皮穿针内固定结合石膏夹外固定治疗,观察术后6周影像学评分及术后12个月腕关节功能评价情况。结果:所有患者随访时间12～18个月,平均14.4个月; 所有病例临床愈合时间为6～8周,平均6.3周; 骨性愈合时间8～12周,平均9.1周; 术后6～8周X线影像学评分,优64例,良119例,平均优良率为88.8%; 术后12个月腕关节功能评价,优62例,良112例,平均优良率为84.5%。结论:手法复位经皮穿针内固定微创治疗老年桡骨远端A和B型骨折临床疗效满意,是一种操作简单,固定牢固,损伤小,并发症少,腕关节功能恢复优良率较高的治疗方法。
Abstract:
Objective:To observe the clinical efficacy and safety of manual reduction and percutaneous pin fixation for type A and type B fractures of distal radius in the elderly patient.Methods:A retrospective analysis was made for 206 elderly patients with distal radius fractures admitted from March 2013 to January 2018,including 49 males and 157 females,aged 60-70 years with an average age of 65.3 years.According to AO classification there are 38 cases fractures with type A2,45 cases with type A3,37 cases with type B1,42 cases with type B2 and 44 cases with type B3.All cases were treated with manual reduction,percutaneous pin fixation and plaster clip fixation.The imaging score of 6 weeks after operation and the function evaluation of wrist joint in 12 months after operation were observed.Results:All patients were followed up for 12 to 18 months with average of 14.4 months.The clinical healing times was 6 to 8 weeks with an average of 6.3 weeks.The bone healing time was 8 to 12 weeks with an average of 9.1 weeks.The X-ray imaging score of 6 to 8 weeks after operation was excellent in 64 cases and good in 119 cases with an average excellent rate of 88.8%.The wrist function evaluation at the 12th month after operation was excellent in 62 cases and good in 112 cases with an average excellent rate of 84.5%.Conclusion:Manipulative reduction and percutaneous needle internal fixation for minimally invasive treatment of elderly patients with distal radius A and B fractures have satisfactory clinical effects.It is a simple operation,reliable fixation,less damage,fewer complications,and a good rate of wrist joint function recovery method.

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备注/Memo

备注/Memo:
(收稿日期:2020-03-05)
更新日期/Last Update: 2020-08-10