[1]金桥 成永忠 陈亦历 许晶晶 陈洋 张琪.半环式外固定架治疗C型桡骨远端骨折21例[J].中国中医骨伤科杂志,2022,30(05):54-58.
 JIN Qiao CHENG Yongzhong CHEN Yili XU Jingjing CHEN Yang ZHANG Qi.21 Cases Clinical Report on Half Ring External Fixator on theTreatment of Type C Distal Radius Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(05):54-58.
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半环式外固定架治疗C型桡骨远端骨折21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05期
页码:
54-58
栏目:
临床报道
出版日期:
2022-05-15

文章信息/Info

Title:
21 Cases Clinical Report on Half Ring External Fixator on theTreatment of Type C Distal Radius Fracture
文章编号:
1005-0205(2022)05-0054-05
作者:
金桥1 成永忠1 陈亦历1 许晶晶1 陈洋1 张琪1
1北京市宣武中医医院(北京,100050)
Author(s):
JIN Qiao1 CHENG Yongzhong1 CHEN Yili1 XU Jingjing1 CHEN Yang1 ZHANG Qi1
1Department of Orthopaedics,Beijing Xuanwu Hospital of Traditional Chinese Medicine,Beijing 100050,China.
关键词:
桡骨远端骨折外固定架桡骨高度腕关节功能
Keywords:
distal radius fracture external fixing frame radius height wrist function
分类号:
R683.41
文献标志码:
B
摘要:
目的:采用半环式外固定架治疗C型桡骨远端骨折,观察对桡骨短缩移位的干预,评估其临床疗效。方法:回顾性纳入2016年1月至2019年10月C型桡骨远端骨折患者21例。研究在术前、术后当日、术后3周、6周及半年共5个时间点受试桡骨高度指标情况,进行重复测量资料的方差分析。研究术前、术后6周及半年共3个时间点评估受试Garland-Werley(GW)指标情况,进行重复测量资料的方差分析。结果:桡骨高度方面,术后当日、术后3周及6周时,桡骨高度变化差异无统计学意义(P>0.05)。半年后(即拆除外固定架后)出现高度降低,差异有统计学意义。GW指标在术后半年时明显优于术后6周,差异有统计学意义(P<0.05)。结论:半环式外固定架治疗C型桡骨远端骨折,可发挥其优势,维持桡骨高度并恢复腕关节功能,但固定架拆除后仍会有部分桡骨高度降低。
Abstract:
To treat type C distal radius fractures by half ring external fixator,observe the intervention of radial shortening and displacement,and evaluate its clinical efficacy and guide clinical application.Methods:21 patients with type C distal radius fracture from January 2016 to October 2019 were retrospectively included.The radial height indexes at 5 time points before operation,after operation,3 weeks,6 weeks and half a year were studied and the variance of repeated measurement data were analyzed.The Garland-Werley(GW)indexes were evaluated at three time points before operation,6 weeks and half a year,and the analysis of variance of repeated measurement data was carried out.Results:There was no significant difference in radial height after operation,3 weeks and 6 weeks.There was a statistical difference in height reduction after half a year after removing the external fixator.The GW index at half a year after operation was significantly better than that at 6 weeks after operation when the external fixator was removed,which was statistically significant.Conclusion:Half ring external fixator can play its advantages in the treatment of type C distal radius fracture,maintain radius height and restore wrist function.However,the height of part of the radius will still be reduced after the removal of the fixator.

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更新日期/Last Update: 1900-01-01