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《创伤外科杂志》[ISSN:/CN:]

期数:

2020年08期

页码:

605-609

栏目:

短篇论著

出版日期:

2020-08-20

文章信息/Info

Title:

Analysis of functional recovery and influencing factors of external fixation combined with Kirschner wire fixation in the treatment of distal radius fractures

文章编号:

1009-4237(2020)08-0605-05

作者:

李金平; 邓志勇; 张崇彬

516000 广东 惠州,惠州卫生职业技术学院附属医院

Author(s):

LI Jin-ping; DENG Zhi-yong; ZHANG Chong-bin

Department of Orthopedics,Affiliated Hospital of Huizhou Health Vocational Technical College,Huizhou,Guangdong 516000,China

关键词:

桡骨远端骨折;  外固定架;  克氏针;  关节功能

分类号:

R 683.42

DOI:

10.3969j.issn.1009-4237.2020.08.011

文献标识码:

A

摘要:

目的 调查外固定架联合克氏针固定治疗桡骨远端骨折功能恢复情况,并分析其影响因素。方法 回顾性分析2015年6月—2019年5月在惠州卫生职业技术学院附属医院行外固定架联合克氏针固定治疗的82例桡骨远端骨折患者资料。收集患者性别、年龄等一般资料,术后6个月以Gartland-Werley腕关节评分评价患者腕关节功能,分析不同因素对腕关节功能的影响。结果 82例患者术后6个月Gartland-Werley腕关节评分优良率为79.27%(65/82)。单因素分析基础上多因素分析结果显示:年龄≥60岁(OR=1.593,95%CI=1.204～2.358)、骨质疏松(OR=1.533,95%CI=1.164～2.093)、骨折AO分型为B/C型(OR=1.612,95%CI=1.188～2.117)、粉碎性骨折(OR=1.972,95%CI=1.283～2.841)、外固定架固定时间≥42d(OR=1.573,95%CI=1.133～1.947)为影响桡骨远端骨折患者外固定架联合克氏针固定术后腕关节功能恢复的危险因素(P<0.05)。结论 外固定架联合克氏针固定治疗桡骨远端骨折患者腕关节功能恢复情况受性别、骨质疏松等多方面因素的影响。

参考文献/References

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备注/Memo

备注/Memo:

【基金项目】 惠州市科技计划项目(2015Y191)

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更新日期/Last Update: 2020-08-20