微创钢板内固定与交锁髓内钉治疗尺骨骨折效果分析

目的探讨微创钢板内固定与交锁髓内钉治疗尺骨骨折效果.方法选取85例尺骨骨折患者,51例行微创钢板内固定术(微创组),34例行交锁髓内钉术(髓内钉组),比较两组手术效果、术后恢复情况及术后并发症发生率.术后3个月、末次随访时均采用Gartland-Werley腕关节评分系统、前臂旋转角度、握力评估腕关节功能.结果微创组手术时间、住院时间、骨折愈合时间均短于髓内钉组(P0.05);微创组术后3个月Gartland-Werley腕关节评分的优良率为74.51%,高于髓内钉组(50.0%),前臂旋转角度、握力均高于髓内钉组,差异具有统计学意义(P0.05),但末次随访比较差异无统计学意义(P0.05);微创组并发症发生率为5.88%,低于髓内钉组(23.53%),差异具有统计学意义(P0.05).结论与交锁髓内钉相比,微创钢板内固定治疗尺骨骨折可缩短手术时间及骨折愈合时间,短时间内可恢复腕关节功能,术后并发症发生率低.

Effect Analysis of Minimally Invasive Plate Fixation and Interlocking Intramedullary Nail for Treatment of Ulnar Fractures

Objective To discuss the effects of minimally invasive plate fixation and interlocking intramedullary nail for treatment of ulnar fractures. Method 85 patients with ulnar fractures were selected as the subjects. 51 patients treated with minimally invasive plate fixation were included in the minimally invasive group while 34 patients treated with interlocking intramedullary nail were included in the intramedullary nail group. The status of surgery,postoperative recovery and the incidence of postoperative complications were compared between the two groups. The wrist function was evaluated by Gartland-Werley wrist scoring system,forearm rotation angle and grip strength at 3 months after surgery and at the last follow-up. Results The surgical time,hospitalization time and fracture healing time of minimally invasive group were shorter than those of intramedullary nail group ( P<0. 05) . The excellent and good rate of Gartland-Werley wrist score in minimally invasive group at 3 months after surgery (74. 51% ) was higher than that in intramedullary nail group (50. 0% ),and the forearm rotation angle and grip strength were larger than those of intramedullary nail group (P<0. 05),but there was no significant difference at the last follow-up ( P>0. 05 ) . The incidence of complications in minimally invasive group ( 5. 88% ) was significantly lower than that in the intramedullary nail group (23. 53% ,P<0. 05). Conclusion Compared with interlocking intramedullary nail, minimally invasive plate fixation can shorten the surgical time and fracture healing time,recover the wrist function in a short period and reduce the incidence of postoperative complications.