[1]王朋涛 卢承印 张来福 张海龙 尹利军 王孝辉△.腕关节镜结合切开复位内固定治疗老年桡骨远端骨折合并三角纤维软骨复合体损伤[J].中国中医骨伤科杂志,2021,29(12):50-53.
　WANG Pengtao LU Chengyin ZHANG Laifu ZHANG Hailong YIN Lijun WANG Xiaohui.Clinical Observation of Wrist Arthroscopy Combined with Open Reduction and Internal Fixation on the Treatment of Elderly Distal Radius Fracture Combined with Triangular Fibrocartilage Complex Injury[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(12):50-53.
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腕关节镜结合切开复位内固定治疗老年桡骨远端骨折合并三角纤维软骨复合体损伤()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年12期
页码:
50-53
栏目:
临床报道
出版日期:
2021-12-15

文章信息/Info

Title:
Clinical Observation of Wrist Arthroscopy Combined with Open Reduction and Internal Fixation on the Treatment of Elderly Distal Radius Fracture Combined with Triangular Fibrocartilage Complex Injury
文章编号:
1005-0205(2021)12-0050-04
作者:
王朋涛1 卢承印1 张来福1 张海龙2 尹利军2 王孝辉2△
Author(s):
WANG Pengtao LU Chengyin ZHANG Laifu ZHANG Hailong YIN Lijun WANG Xiaohui
1Henan University of Chinese Medicine,Zhengzhou 450046,China; 2Henan Luoyang Orthopaedic Hospital(Henan Orthopaedic Hospital),Luoyang 471002,Henan China.
关键词:
三角纤维软骨复合体;  损伤;  桡骨远端骨折;  老年;  腕关节镜;  切开复位内固定
Keywords:
triangular fibrocartilage complex;  damage;  distal radius fracture;  old age;  arthroscopy;  open reduction and internal fixation
分类号:
R683.41
文献标志码:
B
摘要:
目的:观察腕关节镜结合切开复位内固定治疗老年桡骨远端骨折合并三角纤维软骨复合体损伤的临床疗效。方法:回顾性分析2018年6月至2020年6月收治的25例老年桡骨远端骨折合并三角纤维软骨复合体损伤患者,应用腕关节镜结合切开复位内固定的方法治疗,记录患者骨折愈合时间,术后12个月比较治疗前后腕关节DASH评分和腕关节活动度,比较患侧与健侧握力情况,采用Mayo评分对优良率进行评价。结果:25例患者术后均获得随访,时间12～18个月,平均12.7个月。骨折愈合时间为10～14周,平均12.4周。术后12个月腕关节DASH评分及腕关节活动度较术前明显改善,差异有统计学意义(P<0.05)。术后12个月患侧手握力达健侧83.26%±7.48%。Mayo腕关节综合评分:优18例,良4例,可2例,差1例,优良率88%。结论:腕关节镜下治疗桡骨远端骨折,能够精准恢复关节面的平整,评估和修复关节内软骨、三角纤维软骨复合体、韧带等损伤,从而促进老年患者握力及腕关节活动度的恢复,提高治疗效果,值得推广应用。
Abstract:
Objective:To observe the clinical efficacy of wrist arthroscopy combined with open reduction and internal fixation on the treatment of elderly distal radius fractures with triangular fibrocartilage complex injury.Methods:25 elderly patients with distal radius triangular fracture treated by arthroscopic reduction and internal fixation from June 2018 to June 2020 were retrospectively analyzed.After 12 months of operation,the fracture healing time was recorded; the wrist DASH score and wrist range of motion before and after treatment were compared; the grip strength of the affected side and the healthy side were compared,and the excellent and good rate was evaluated by Mayo score.Results:All 25 patients were followed up for 12 to 18 months,with an average of 12.7 months.The fracture healing time was 10 to 14 weeks,with an average of 12.4 weeks.At 12 months after operation,the wrist DASH score and wrist range of motion were significantly improved compared with those before operation(P<0.05).12 months after operation,the hand grip strength of the affected side was 83.26%±7.48%.The results of Mayo wrist comprehensive score showed that excellent in 18 cases,good in 4 cases,fair in 2 cases and poor in 1 case.The excellent and good rate was 88%.Conclusion:Arthroscopic treatment of distal radius fractures can accurately restore the flatness of articular surface,evaluate and repair the injuries of intra-articular cartilage,triangular fibrocartilage complex and ligament,so as to promote the recovery of grip strength and wrist mobility in elderly patients,improve the treatment efficacy,and is worthy of popularization and application.

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备注/Memo

备注/Memo:
1河南中医药大学(郑州,450046)2河南省洛阳正骨医院(河南省骨科医院)△通信作者 E-mail:963099784@qq.com
更新日期/Last Update: 1900-01-01