Abstract:Objective To analyze the clinical efficacy of universal double column locking plate and T-shapedlocking plate in the treatment of unstable distal radius fractures.Methods From January 2016 to January 2018,68 patients with unstable distal radius fractures who underwent orthopedic surgery in our hospital were randomly divided into the experimental group and the control group.The experimental group was treated with the volar approach.T-shaped locking compression plate treatment,the control group was treated with universal double column locking plate.There were 34 patients in the experimental group,including 16 males and 18 females aged 46~75 years with an average of (54.16±12.54).There were 34 patients in the control group,including 18 males and 16 females aged 44~77 years with an average age of (53.27±13.74).The bone healing time,wrist joint mobility,imaging related indicators,wrist joint function scores and postoperative complications were compared before and after surgery.Results The wrist joint activity of the control group was significantly better than that of the experimental group (P<0.05).The palm tilt angle and ulnar deviation angle of the group were significantly better than those before operation (P<0.05).The palm tilt angle and ulnar angle of the control group were significantly better than the experimental group (P<0.05);There was no significant difference in the time of bone healing between the control group and the bone healing time of the experimental group (P>0.05).The wrist function activity score of control group was significantly better than the test group at 6 months after surgery (P<0.05),and thecomplication rateof control group was significantly less than the test group(P<0.05).Conclusion The universal double column locking plate is used to treat unstable fractures of the distal radius.The reduction effect is good.The wrist joints have good motion,the wrist joint function score is high,and the complications are few,which is obviously better than the T-shapedlocking plate.
郑泽鹏,孙玉明 *. 锁定接骨板治疗桡骨远端不稳定性骨折疗效对比[J]. 实用骨科杂志, 2019, 25(10): 879-882.
Zheng Zepeng,Sun Yuming *. Comparative Study of the Treatment of Unstable Fractures of the Distal Radius with Locking Plate. sygkzz, 2019, 25(10): 879-882.