掌侧锁定钢板结合背侧微型钢板治疗复杂桡骨远端骨折的疗效分析

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【中图分类号】R683.41 【文献标志码】A

【AbstractObjective：Toinvestigatetheficacyofvolarnatomicallockingplatescombinedwithorsalmin-platesintreatingcomplexdistalradiusfractures.Method：Weretrospectivelyincludedpatients withcomplexdistalradiusfractureswhohadbentreated withvolarlockingplatesanddorsalmini-platesatChongqingGeneral HospitalfromJanuary2019toJune2023.Thequalityofarticularsurfacefragmentreductionwasasessedthroughimageanalysis.Follw-updataincludedtheMayowristscore，Disabilitiesofthe Arm，Shoulder，andHandQuestionnaire（DASH）score，wristrangeof motion，timetofracture healing，andcomplications.Results： Twenty-eight patients[19 males，9 females;mean age，（ 45.4±11.9 ）years]were included，with a mean follow-up of 1（4.9±3.6） months.Teirinjurymechanismsincudedfalsfomheight（11cses），traffcaccidents（9ases）andsimplefalls（8cases）.tero eration，the volar tilt was （5.1±4.9）∪ ，and the ulnar inclination was （ 19.8±2.8 ）°；at the final follow-up，theangleswere（ 5.2±4.8 ）° and （19.3±2.5）∘ ，respectively，neither showingany significant change（ P>0.05 ）.Atthe final follow-up，all fractureshealed，with a mean healing time of 3.6 months.At1year after operation，the wrist extension was （50.7±6.3）∪ ;the wrist flexion was （49.4±6.1）∘ the DASH score was 15.0±6.3 ;the Mayo wristscores were excellent or good in 24 cases;the grip strength of the affected side averaged （204号 84.4% ofthatof thecontralateralside.Noimplantlosening occurrd.Twocases ofsuperficial woundinfection andonecaseof extensortendon irritation werereported.Conclusion：Locked volarplatingcombined with dorsal mini-plating provides stable fixation for comminuted articular surface fragments in complex distal radius fractures，enabling early functional rehabilitation with favorable wrist recoveryand low rates ofdorsal tendonirritation.

【Keywords】distal radius fracture;comminuted fracture;internal fixation;functional recovery

桡骨远端骨折是最常见的骨折之一，多数可以通过手法复位保守治疗。（剩余10786字）