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非手术治疗桡骨远端骨折累及中间柱对前臂旋转的影响研究(PDF)

《创伤外科杂志》[ISSN:/CN:]

期数:
2020年08期
页码:
613-616
栏目:
短篇论著
出版日期:
2020-08-20

文章信息/Info

Title:
Effect of non-operative treatment on forearm rotation in patients with distal radius fracture involving intermediate column
文章编号:
1009-4237(2020)08-0613-04
作者:
王洪超; 张明伦; 高志方; 潘 新
250000 济南,山东大学齐鲁医院脊柱外科(王洪超,潘新); 252000 山东 聊城,聊城市中医院骨创伤科(王洪超,张明伦),麻醉科(高志方)
Author(s):
WANG Hong-chao1; 2; ZHANG Ming-lun2; GAO Zhi-fang3; PAN Xin1
1.Department of Spinal Surgery,Qilu Hospital of Shandong University,Ji'nan 250000,China; 2.Department of Bone Trauma,Liaocheng Hospital of Traditional Chinese Medicine,Liaocheng,Shandong 252000,China; 3.Department of Anesthesiology,Liaocheng Hospital of T
关键词:
桡骨远端骨折;  中柱骨折;  非手术
分类号:
R 683.41
DOI:
10.3969j.issn.1009-4237.2020.08.013
文献标识码:
A
摘要:
目的 分析累及桡骨远端中柱骨折经非手术治疗对前臂旋转功能的影响。方法 回顾性分析2015年1月—2018年12月山东大学齐鲁医院脊柱外科收治的104例经非手术治疗的桡骨远端骨折患者资料,男性42例,女性62例; 年龄25～66岁,平均52.5岁; 18例为A2型骨折,34例为A3型,18例为C1型,34例为C2型。患者均石膏固定2周后,改患肢功能位再固定2～4周。按照骨折位置分为两组,病例组为累及中柱骨折,对照组不累及中柱骨折,每组各52例。分析两组患者腕部运动及握力的差异,加特兰和韦利得分,臂、肩、手残疾(DASH)评分; 12个月时VAS评分。采用配对t检验比较连续变量间的差异,采用线性回归分析或Pearson相关分析评价放射学参数(掌倾角、尺倾角)与临床结果的相关性。结果 两组患者在性别、年龄、骨折类型及骨折部位之间比较差异无统计学意义(P=0.781, P=0.454,P=0.163)。两组患者旋前[病例组(77.0±7.8)° vs. 对照组(82.8±7.3)°,P=0.000]和旋后[病例组(72.0±7.4)° vs. 对照组(74.9±8.7)°,P=0.008]的关节活动度(ROM)差异有统计学意义,对照组的活动度明显大于病例组。两组DASH评分差异有统计学意义(P=0.024)。采用Pearson相关分析,观察关节脱位与内旋活动度呈负相关(r=-0.360,P=0.000)。线性回归分析也表明,内旋活动度与关节脱位呈负相关(β=-6.327,P=0.001)。结论 桡骨远端累及中柱骨折经非手术治疗后,对前臂旋转有不良影响。

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备注/Memo

备注/Memo:
【通信作者】 潘新,E-mail:lcdocwhc@163.com
更新日期/Last Update: 2020-08-20