[1]李琰△,孙晋客,张峻玮,等.闭合复位经皮穿针三角构型内固定治疗C型桡骨远端骨折55例[J].中国中医骨伤科杂志,2022,30(11):49-53.
　LI Yan,SUN Jinke,ZHANG Junwei,et al.55 Cases Clinical Study on Closed Reduction and Percutaneous Pinning with Kirschner Wire in Treating Triangular Configuration for Type C Fractures of the Distal Radius[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(11):49-53.
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闭合复位经皮穿针三角构型内固定治疗C型桡骨远端骨折55例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年11期
页码:
49-53
栏目:
临床报道
出版日期:
2022-11-15

文章信息/Info

Title:
55 Cases Clinical Study on Closed Reduction and Percutaneous Pinning with Kirschner Wire in Treating Triangular Configuration for Type C Fractures of the Distal Radius
文章编号:
1005-0205(2022)11-0049-05
作者:
李琰1; 2△; 孙晋客1; 2; 张峻玮1; 2; 王辉亮1; 2; 乔永平1; 2; 姜红江1; 2△; 孙鹏1; 2; 丁英状1; 2
1山东省文登整骨医院(山东 威海,264400) 2山东省中医骨伤研究院
Author(s):
LI Yan1; 2△; SUN Jinke1; 2; ZHANG Junwei1; 2; WANG Huiliang1; 2; QIAO Yongping1; 2; JIANG Hongjiang1; 2△; SUN Peng1; 2; DING Yingzhuang1; 2
1Shandong Wendeng Orthopedic Hospital, Weihai 264400, Shandong China; 2Shandong Academy of Traditional Chinese Medicine Orthopedics and Traumatology, Weihai 264400, Shandong China.
关键词:
C型桡骨骨折;  骨折闭合复位;  克氏针;  骨折内固定
Keywords:
type C radius fractures;  closed fracture reduction;  Kirschner wire;  fracture internal fixation
分类号:
R683.41
文献标志码:
B
摘要:
目的:评估闭合复位经皮穿刺克氏针三角构型内固定治疗C型桡骨远端骨折的临床疗效。方法:回顾性分析2020年10月至2021年12月接受手术的55例C型桡骨远端骨折患者。男14例,女41例; 年龄为34～81岁,平均为(59.96±9.10)岁。根据术前X线和CT影像学资料明确骨折损伤情况,均给予闭合复位经皮穿刺克氏针三角构型内固定治疗。随访观察3个月,测量桡骨高度、尺偏角、掌倾角,记录骨折愈合时间、并发症,采用腕关节患者自行评估量表(PRWE)评价腕关节功能,评估疗效。结果:所有患者均顺利完成手术,手术时间为20～45 min,平均为(32.00±6.64)min,末次随访时所有患者骨折全部愈合。PRWE评估疗效:优20例,良27例,可4例,差4例,满意率为92.73%; 术后第1天,所有患者桡骨高度、尺偏角、掌倾角均获得明显恢复((5.78±1.92)mm比(12.91±1.73)mm,t=27.458,P<0.001; 11.71°±2.80°比21.00°±1.78°,t=20.478,P<0.001; -14.18°±4.15°比11.65°±2.19°,t=40.352,P<0.001); 末次随访时,所有患者桡骨高度、尺偏角、掌倾角维持良好((12.91±1.73)mm比(12.78±1.65)mm,Z=-1.698,P=0.090; 21.00°±1.78°比20.89°±1.75°,Z=-1.897,P=0.058; 11.65°±2.19°比11.55°±2.04°,Z=-1.500,P=0.134); 随访期间5例患者出现并发症,3例为针道感染,2例为肌腱刺激,并发症发生率为9.10%。结论:闭合复位经皮穿刺克氏针三角构型治疗C型桡骨远端骨折可获得良好复位及治疗效果,远期疗效仍需进一步随访观察。
Abstract:
Objective:To evaluate the clinical efficacy of closed reduction and percutaneous pinning with Kirschner wire in treating triangular configuration for type C fractures of the distal radius.Methods:55 patients with type C distal radius fractures operated from October 2020 to December 2021 were analyzed retrospectively, including 14 males and 41 females, aged from 34 to 81 years old, with(59.96±9.10)years old on average.Fraction situation were determined according to preoperative X ray and CT data.All patients were treated with closed reduction and percutaneous with Kirschner wire in triangular configuration.All were followed up for 3 months.The radial height, ulnar declination, palm dip angle and patient-rated wrist evaluation(PRWE)wrist function scores were used to evaluate the clinical efficacy.The fracture healing time and complications were recorded.Results:All 55 patients were successfully completed closed reduction and internal fixation.The operation time was 20 to 45 min, with(32.00±6.64)min on average.All patients got clinical healing at the last follow-up.PRWE wrist score scale results showed that 20 cases were excellent, 27 cases were good, 4 cases were fair, 4 cases were poor, excellent and good results come to 85.45%.Compared before operation, the radial height, ulnar declination and palmar inclination of all patients recovered significantly((5.78±1.92)mm vs(12.91±1.73)mm, t=27.458, P<0.001; 11.71°±2.80° vs 21.00°±1.78°, t=20.478, P<0.001; -14.18°±4.15° vs 11.65°±2.19°, t=40.352, P<0.001)on the 1st day after the operation.No significant loss of fracture reduction was found in all patients 3 months after operation((12.91±1.73)mm vs(12.78±1.65)mm, Z=-1.698, P=0.090; 21.00°±1.78° vs 20.89°±1.75°, Z=-1.897, P=0.058; 11.65°±2.19° vs 11.55°±2.04°, Z=-1.500, P=0.134); Postoperative complications occurred in 5 cases during the follow-up, 3 cases with needle tract infection and 2 cases with tendon irritation, and the complication rate was 9.10%.Conclusion:Closed reduction and percutaneous pinning with Kirschner wires in triangular configuration for type C fractures of the distal radius can achieve good reduction and therapeutic efficacy, and the long-term efficacy still needs further observation.

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备注/Memo

备注/Memo:
基金项目:基本中医药循证能力建设项目(国中医药科技中医便函〔2019〕130号)全国名老中医药专家孙文学传承工作室建设项目(国中医药人教函 〔2018〕134号)威海市第三批中医重点专科(四肢创伤科)项目(威卫计中医〔2017〕14号)威海市中医药科技面上项目(2021N-02) △通信作者 E-mail:liyanspine@163.com(李琰)boneman@163.com(姜红江)
更新日期/Last Update: 2022-11-10