Comparison of the Clinical Curative Effects of Anatomic Locking Plate Internal Fixation and Conservative Treatment in Elderly Patients with C Type Distal Radius Fractures
Department of Orthopaedics, Hospital of Dacheng County, Hebei 065900, China
Abstract：【Objective】To compare the clinical curative effects of anatomic locking plate internal fixation and conservative treatment in elderly patients with C type distal radius fractures.【Methods】Fifty elderly patients with C type distal radius fractures who were treated in our treatment group between March 2012 and March 2014 were selected. According to different treatment methods, the patients were divided into open reduction with volar locking plate internal fixation group (group A) and close manipulative reduction with macromolecule plaster immobilization conservative treatment group (group B). Through imaging data, the recovery of indexes of distal radius fractures was compared; The wrist pain degree was evaluated by visual analogue scale (VAS); The recovery of wrist function was evaluated by modified GartlangdWerlery scoring system and PatientRated Wrist Evaluation (PRWE). 【Results】After surgery, the recovery of distal radius indexes such as palmar tilt, ulnar inclination, radial shortening length and degree of articular surface collapse were significantly improved (P<0.05). At the end of followup, the values of group A were better than those of group B (P<0.05); VAS score of group A was lower than that of group B (P<0.05), the difference was statistically significant (P<0.05); The excellent and good rate of GartlangdWerlery score in group A was 88.5%, which was much better than that of group B 75.0% (P<0.05); The PRWE score of group A was lower than that of group B, the difference was statistically significant (P<0.05). 【Conclusion】 Both of the two regimens can effectively treat elderly patients with C type distal radius fractures. However, open reduction with anatomic locking plate internal fixation can better restore and maintain distal radius palmar tilt, ulnar inclination, height of processus styloideus radii and flatness of articular surface, reduce radial shortening length, so that the wrist joint function can recover better. It also can effectively reduce joint pain and symptoms of traumatic arthritis in the affected wrist. It is a more effective treatment for the disease. However, when choosing clinical treatment methods, the patient's condition and patient's must be taken into consideration.
刘得欣. 保守治疗与解剖锁定钢板内固定治疗老年性桡骨远端C型骨折的疗效比较[J]. 医学临床研究, 2016, 33(4): 663-666.
LIU Dexin. Comparison of the Clinical Curative Effects of Anatomic Locking Plate Internal Fixation and Conservative Treatment in Elderly Patients with C Type Distal Radius Fractures. JOURNAL OF CLINICAL RESEARCH, 2016, 33(4): 663-666.
2016, Vol. 33 
