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桡骨远端骨折内固定治疗预后与尺骨茎突骨折的相关临床分析
Correlation analysis between ulnar styloid fracture and the outcome after fixation of distal radius fracture
  
DOI:
中文关键词:  骨折  桡骨远端  尺骨茎突  内固定
英文关键词:Fractures  Distal radius  Ulnar styloid  Internal fixation
基金项目:
作者单位
吴佳俊 王子平 易存国 付备刚 王秀会  
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中文摘要:
      目的 研究下尺桡关节稳定的桡骨远端骨折伴或不伴尺骨茎突骨折对预后的影响。方法 通过病历查询及随访获取资料,2008年1月至2014年1月在本院治疗的97例下尺桡关节稳定的桡骨远端骨折患者分为未合并尺骨茎突骨折组(53例)和合并尺骨茎突骨折组(44例),未合并尺骨茎突骨折组行切开复位内固定术治疗,合并尺骨茎突骨折组行切开复位钢板内固定治疗,对合并的尺骨茎突骨折未予固定。记录患者的一般资料、抓握力、关节活动度、Gartland & Werley 功能评分及影像学评分,比较2组患者治疗情况及疗效。结果 合并尺骨茎突骨折组患者尺侧疼痛较未合并尺骨茎突骨折组患者明显。骨折部位的疼痛、腕关节掌屈、腕关节背屈、主动活动时疼痛、桡偏、尺偏、前臂旋前、前臂旋后、Gartland & Werley 功能评分和影像学评分,2组差异均无统计学意义(P>0.05)。 结论 是否合并尺骨茎突骨折不影响钢板内固定治疗下尺桡关节稳定的桡骨远端骨折的关节活动度及功能。
英文摘要:
      Objective To analyze effects of an associated ulnar styloid fracture on the outcome after fixation of distal radius fracture with stable DRUJ.Methods This was a retrospective case control study,and the information was got ten through case evaluation and follow up,including sex,age,patient satisfaction,Gartland & Werley score and radiographic score.There were 97 patient treated with open reduction and plate fixation in our Hospital from January 2008 to January 2014.All the patients were divided into two groups:no combination with ulnar styloid fracture(group A,53 cases),combination with ulnar styloid fracture(group B,44 cases). The patients in group A and B were treated with open reduction and internal fixation;however the ulnar styloid fracture was not fixed.The indexes such as clinical data,power of grasp,joint movement,Gartland & Werley score and radiographic score were compared between two groups.Results The ulnar pain of patients in group B was more obvious than that in group A.The local VAS,palmar and dorsal flexion degree of wrist joint,motion VAS,patients satisfaction score,radial and ulnar deviation degree,pronation and supination of forearm degree,Gartland & Werley score and radiographic score were separately recorded, there were no statistical differences in above indexes between two groups.Conclusion Whether the distal radial fracture with stable DRUJ combined a concomitant unrepaired ulnar styloid fracture or not exerts no influence on mainly outcomes including function,radiography and motion of the wrist.
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