[1]谭新欢,侯金永△,高祥,等.撑开器辅助下微创复位内固定技术治疗老年桡骨远端骨折73例[J].中国中医骨伤科杂志,2023,31(08):48-53.[doi:10.20085/j.cnki.issn1005-0205.230810 ]
　TAN Xinhuan,HOU Jinyong,GAO Xiang,et al.73 Cases of Distal Radius Fractures in the Elderly Treated with Minimally Invasive Reduction and Internal Fixation Assisted by Extender[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(08):48-53.[doi:10.20085/j.cnki.issn1005-0205.230810 ]
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撑开器辅助下微创复位内固定技术治疗老年桡骨远端骨折73例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年08期
页码:
48-53
栏目:
临床报道
出版日期:
2023-08-15

文章信息/Info

Title:
73 Cases of Distal Radius Fractures in the Elderly Treated with Minimally Invasive Reduction and Internal Fixation Assisted by Extender
文章编号:
1005-0205(2023)08-0048-06
作者:
谭新欢1; 侯金永1△; 高祥1; 毕宏政1; 杨凯1
1山东省文登整骨医院(山东 威海,264400)
Author(s):
TAN Xinhuan1; HOU Jinyong1△; GAO Xiang1; BI Hongzheng1; YANG Kai1
1Wendeng Hospital of Traditional Chinese Orthopedics and Traumatology of Shandong Province,Weihai 264400,Shandong China.
关键词:
桡骨远端骨折;  克氏针;  内固定
Keywords:
distal radius fracture;  Kirschner wire;  internal fixation
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.230810
文献标志码:
B
摘要:
目的:探讨撑开器辅助下微创复位内固定技术治疗老年桡骨远端AO-A3型骨折的临床疗效与安全性。方法:回顾性分析2020年3月至2022年1月收治的73例老年桡骨远端AO-A3型骨折患者的病例资料,其中男17例,女56例; 年龄为60～75岁,平均为65.9岁; 摔伤59例,车祸及挤伤等其他原因14例; 左侧42例,右侧31例。患者伤后至就诊时间为0.5～72.0 h,平均为8.6 h。全部采用撑开器辅助下微创复位内固定技术治疗,观察骨折愈合时间及并发症情况,并对术后第2天与末次随访时X线片的各数据(掌倾角、尺偏角及桡骨高度)进行比较,术后1年按Gartland-Werley 腕关节评分标准进行疗效评定。结果:所有患者均获随访,随访时间为12～14个月,平均为12.3个月; 临床愈合时间为6～8周,平均为7.3周; 骨性愈合时间为8～12周,平均为10.4周; 并发症发生率为4.1%; 术后第2天与末次随访时各数据比较,差异无统计学意义(P>0.05)。术后1年根据Gartland-Werley 腕关节评分评价:优21例,良44例,优良率为89.0%。结论:撑开器辅助下微创复位内固定技术治疗老年桡骨远端AO-A3型骨折,具有操作简便、复位准确、固定牢固、微创高效的优点,更容易被老年人接受,适宜基层医疗机构推广应用。
Abstract:
Objective:To investigate the clinical efficacy and safety of minimally invasive reduction and internal fixation assisted by a distraction device in the treatment of AO-A3 type distal radius fractures in elderly patients.Methods:The clinical data of 73 elderly patients(17 males and 56 females,aged 60-75 years)with AO-A3 distal radius fractures,treated between March 2020 and January 2022,were retrospectively analyzed.The average age of the patients was 65.9 years old.Among them,59 cases were injured by falls,while 14 cases were caused by traffic accidents and crush injuries.Additionally,42 cases were on the left side,and 31 cases were on the right side.The average time from injury to seeking medical attention was 8.6 h(ranging from 0.5 to 72.0 h).All patients underwent minimally invasive reduction and internal fixation assisted by a distraction device.The time of fracture healing and the occurrence of complications were observed.X-ray parameters,including palm inclination angle,ulnar deviation angle,and radius height,were compared between the second day after the operation and the last follow-up.The curative efficacy was evaluated based on the Gartland-Werley carpal score one year after the operation.Results:All patients were followed up for 12 to 14 months(average 12.3 months).The clinical healing time ranged from 6 to 8 weeks(average 7.3 weeks),and the bone healing time ranged from 8 to 12 weeks(average 10.4 weeks).The incidence of complications was 4.1%,and there was no significant difference between the second day after the operation and the last follow-up(P>0.05).Out of the 73 cases,44 were classified as good,resulting in an excellent and good rate of 89.0%.Conclusion:Minimally invasive reduction and internal fixation assisted by a distraction device is a suitable treatment option for AO-A3 type distal radius fractures in elderly patients.This approach offers advantages such as simplicity of operation,accurate reduction,firm fixation,and minimally invasive high efficiency.It is well-accepted by elderly patients and is suitable for implementation in basic medical institutions.

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备注/Memo

备注/Memo:
基金项目:山东省中医药科技发展计划项目(2017-427)
全国名老中医药专家传承工作室(国中医药人教函〔2022〕75号)
山东省中医药科技项目(2020Z45)
△通信作者 E-mail:376297496@qq.com
更新日期/Last Update: 2023-08-01