双侧重建钢板固定在肱骨远端骨折治疗的临床价值

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1、双侧重建钢板固定在肱骨远端骨折治疗的临床价值江昆(眉山市青神康达骨科医院四川青神620460)【摘要】目的：观察双侧重建钢板固定在肱骨远端骨折治疗中的临床价值。方法：筛选2015年1月至2016年1月我院收治的肱骨远端骨折患者64例，作为研究对象。所有患者均经影像学检查确诊为肱骨远端骨折，根据患者手术方式将其分为观察组与对照组，观察组30例患者采用双侧重建钢板固定治疗，对照组34例患者采用传统钢板内固定治疗，比较两组患者愈合时间及肘关节功能恢复情况。结果：两组患者随访复查骨折失败率均为0.00%,但观察组患者平均愈合时间明显低于对照组，P<0.05,具有统计学

2、意义；观察组患者肘关节功能评分优良率明显高于对照组，P<0.05,具有统计学意义。结论：采用双侧重建钢板固定治疗肱骨远端骨折可有效缩短患者骨折愈合时间，提高患者肘关节功能恢复情况，具有临床应用及推广价值。【关键词】双侧重建钢板固定；肱骨远端骨折；临床疗效；应用价值【中图分类号】R683【文献标识码】A【文章编号】2095-1752(2016)25-0164-02ClinicalvalueofbilateralreconstructionplatefixationontreatmentofdistalhumeralfracturesJiangKunTheKang

3、daOrthopaedicHospitalofQingShen,Meishan,Sichuan620460,China【Abstract】ObjectiveToobservetheclinicalvalueofbilateralreconstructionplatefixationontreatmentofdistalhumeralfractures.Methods64caseswithdistalhumerusfractures,whichadmittedinourhospitalduringJanuary2015–January2016,werese

4、lectedastheresearchobjectanddividedintotheobservationgroupexperimentalgroup.Allpatientswerediagnosedbyimagingexaminationhumerusdistalfractureanddividedintoobservationgroupandcontrolgroupaccordingtothepatientswithsurgery.Observationgroupof30patientswasgiventhedoublefocusonbuildingplatef

5、ixationtreatment,andcontrolgroupof34patientswasgiventhetraditionalsteelplateinternalfixationtreatment.Patientshealingtimeandelbowjointfunctionrecoveryofthetwogroupswerecompared.ResultsBothtwogroupswithfollow-upreviewfracturefailureratewas0.00%,buttheobservationgroupwithanaveragehealing

6、timesignificantlylowerthanthecontrolgroup,thedifferencewassignificantstatisticallysignificant(P<0.05).Theelbowjointfunctionscoreofobservationgroupwassignificantlyhigherthanthecontrolgroup,thedifferencewassignificantstatisticallysignificant(P<0.05).ConclusionWithdoublefocusonbuild

7、ingsteelplatefixationinthetreatmentofhumerusdistalfracturescaneffectivelyshortenthepatientswithfracturehealingtime,improvetheelbowjointfunctioninpatientswithrecovery,whichhasclinicalapplicationandpopularizationvalue.【Keywords]Doublefocusonbuildingsteelplatefixation;Distalhumerusfract