| 摘要: |
| ［摘要］ 目的 探讨掌侧入路锁定钢板内固定治疗桡骨远端骨折的临床疗效及并发症。方法 回顾2004～2010年采用掌侧入路锁定钢板内固定治疗桡骨远端骨折患者45例，在骨折愈合时间、复位丧失、内固定失效、腕关节功能恢复情况、肌腱损伤发生率、腕管综合征发生率、复杂性局部疼痛综合征发生率等方面进行分析和比较。结果 45例患者均在5～8个月内骨折愈合，合并腕管综合征1例、拇长屈肌腱激惹1例、伸肌腱激惹2例、内固定失效2例、局部疼痛综合征1例，未发现肌腱断裂患者。腕关节功能按照Garland与Werley评分标准：优26例，良12例，可4例，差3例。结论 掌侧入路内固定治疗桡骨远端骨折是有效的手术方式，不恰当的操作技术仍可导致并发症的发生，及时并正确处理，是避免或减少并发症发生的主要措施。 |
| 关键词: 桡骨远端骨折 掌侧入路 锁定钢板 功能恢复 并发症 |
| DOI：10.3969/j.issn.1674-3806.2011.07.17 |
| 分类号:R 683.42 |
| 基金项目: |
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| Analysis of effect and complication in treating distal radial fracture by locking plate internal fixation through palmar approach |
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YUAN Wei-qing
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Department of Orthopaedics, the Red Cross Hospital of Nanning, Guangxi 530012, China
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| Abstract: |
| ［Abstract］ Objective To explore the effect and complication of treating distal radial fracture by locking plate internal fixation through palmar approach.Methods The clinical data of 45 patients with distal radial fracture treated by locking plate internal fixation through palmar approach in our hospital form 2004 to 2010 were retrospectively analyzed and compared including healing time of fracture, reset loss, internal fixation failure, wrist activity recovery, tendon injuries incidence, incidence rates of carpal tunnel syndrome and complex local pain syndrome.Results Forty-five patients had fracture healing among 5～8 months. Of them,complication of carpal tunnel syndrome was found in one patient, thumb long flexor tendon injury in one patient, stretching tendons injury in 2 patients, internal fixation failure in 2 patients, and local pain syndrome in one patient. tendon rupture did not be found in all patients. According to the wrist joint function standards of Werley and Garland scoring: excellent effect were found in 26 patients, good in 12 patients, fair in 4 patients, poor in 3 patients.Conclusion Locking plate internal fixation through palmar approach is an effective way for treating distal radial fracture. Incorrect operation can lead to the occurrence of complications, and proper and timely treatment is the main measures to avoid or reduce the accurence of complications. |
| Key words: Distal radial fractures Palmar approach Locking plate Functional recovery Complication |
