| 微型针板内固定治疗10例C型桡骨极远端骨折疗效分析 |
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投稿时间：2022-06-07
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| 作者 | Author | 单位 | Address | E-Mail |
| 刘兵 |
LIU Bing |
北部战区总医院骨科, 辽宁 沈阳 110016 |
Department of Orthopaedics, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning, China |
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| 马翔宇 |
MA Xiang-yu |
北部战区总医院骨科, 辽宁 沈阳 110016 |
Department of Orthopaedics, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning, China |
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| 杨超 |
YANG Chao |
北部战区总医院骨科, 辽宁 沈阳 110016 |
Department of Orthopaedics, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning, China |
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| 周大鹏 |
ZHOU Da-peng |
北部战区总医院骨科, 辽宁 沈阳 110016 |
Department of Orthopaedics, General Hospital of Northern Theater Command, Shenyang 110016, Liaoning, China |
me3210@163.com |
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| 期刊信息：《中国骨伤》2023年，第36卷，第6期，第574-578页 |
| DOI：10.12200/j.issn.1003-0034.2023.06.014 |
| 基金项目:辽宁省科学技术计划面上项目（编号：2021-MS-038） |
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中文摘要:
目的：分析和探讨微型针板内固定治疗C型桡骨极远端骨折的可行性及疗效，以期寻求治疗此类骨折的可靠固定方法。
方法：选择从2019年12月至2021年6月进行治疗的10例C型桡骨极远端骨折，男5例，女5例；左侧6例，右侧4例，年龄35~67岁。均以微型针板内固定治疗。
结果：所有患者术后获随访，时间6~18个月。所有患者骨折顺利愈合，骨折愈合时间10~16周。随访期间所有患者疗效满意，无切口感染发生，均未发现腕关节慢性疼痛及创伤性关节炎表现。末次随访时腕关节Mayo评分为85~95分，其中优7例、良3例。
结论：微型针板能够有效固定C型桡骨极远端骨折，腕关节锻练时间早，具有固定强度高、复位维持好、并发症少、优良率高等优点，是治疗C型桡骨极远端骨折的可靠方法。 |
| 【关键词】微型针板 骨折内固定术 桡骨极远端骨折 |
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| The analysis of the therapeutic effect for 10 cases of type C extreme distal radial fracture in micro needle plate internal fixation |
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ABSTRACT
Objective To analyze the clinical outcomes of mini-plate combined with wireforms in the treatment of Type C distal radial fractures with marginal articular fragments.
Methods This retrospective study included a total of 10 cases, including 5 males and 5 females, with 6 cases involving the left side and 4 cases involving the right side, of Type C distal radial fractures with marginal articular fragments. The age of the patients ranged from 35 to 67 years old. All patients underwent surgical treatment utilizing mini-plate combined with wireforms for internal fixation.
Results The follow-up period ranged from 6 to 18 months. Complete fracture healing was observed in all cases, with healing times ranging from 10 to 16 weeks. During the entire follow-up period, patients reported high levels of satisfaction with the treatment outcomes, and there were no incidences of incision infection, chronic wrist pain, or wrist traumatic arthritis. At the final follow-up assessment, the Mayo score for the wrist joint ranged from 85 to 95, with 7 cases rated as excellent and 3 cases as good.
Conclusion Mini-plate combined with wireforms proves to be an effective fixation method for Type C distal radial fractures with marginal articular fragments. The early initiation of wrist joint exercises, strong fixation, maintenance of proper reduction, minimal complications, and high rates of excellent and good outcomes demonstrate the reliability and efficacy of this treatment approach. |
| KEY WORDS Mini-plate combined with wireforms Internal fixation Distal radial fractures with marginal articular fragments |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘兵,马翔宇,杨超,周大鹏.微型针板内固定治疗10例C型桡骨极远端骨折疗效分析[J].中国骨伤,2023,36(6):574~578 |
| 英文格式: | LIU Bing,MA Xiang-yu,YANG Chao,ZHOU Da-peng.The analysis of the therapeutic effect for 10 cases of type C extreme distal radial fracture in micro needle plate internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(6):574~578 |
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