rayback+ⅳ型桡骨远端骨折治疗策略-(5348)

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1、万方数据英文摘要positionoftheboneandplatewascorrect．Andthen10ckingscrewswereplaced．Postoperativerehabilitationwasperformedundertheguidanceofdoctorsaccordingtotheresultoffollow．up．X．rayexaminationandfunctionofwristiointwastestedatthe3rd，6th，12th，18thmonths．Garfland-W色rleyscoreandPat

2、ient．RatedWristEvaluation口RWE)scorewereusedtoevaluatetheresultoftreatment．Gartland．Werleyscoringsystemiswidelyusedintheevaluationofthefunctionofthewristjoint，fouraspectsareincluded，appearance，self-evaluationofpatient，evaluationofdoctors，complications．Thethefourpartsscoressu

3、mto100，andclassifiedintofourgrade．Excellent(0—2)，Good(3—8)，normal(9．20)andbad(morethan21)．PRWEscoringsystemisusedtoevaluatethewristpainanddysfunctionofpatients’dailylife．andiscomposedoftwoparts．Therearefiveitemsintheevaluationofpain，eachhas10points(0referstonopainand10refer

4、stothemostsevereimaginablepain)；functionevaluationiscomposedof10items(specialactionsandnormalactions)，eachitemhas10points；thefinalresultiScalculatedasA+B／2．0referstonoproblemwithwristand100referstothemostseverepainanddysfunction．Somestudiesconcludedthatagehadbiginfluenceson

5、therecoveryofthefunction．Sothepatientsweredivideintotwogroupsaccordingtotheirage(olderthan65ornot)．Atthesametimetheincidenceofcomplicationswerealsoobservedandrecorded，suchastheinjuryofmediannerve，delayedruptureoftendon，nonunionoffractureandapparentdislocationoffracture．SPSS

6、18．0wasusedtoperformthestatisticalwork．Twoindependentsamplet-test，Mann—WhitneytestandChi—squaretestwereusedacCOrdingtothetypeofthedata，ifP<0．05，statisticallysignificantdifferencewasconsideredtobefound．Result：Forthepatientswhowereunder65yearsold，operativetreatmenthadabettere

7、ffectthanconservativetreatmentaccordingtotheGartland—WerleyscoreandPRWEscoreatthetimepoint3rd，6th，12th，18thmonthsandthissuperioritywasconfirmedbystatisticallysignificantdifference．Thesuperioritybecamemoreandmoreapparentduringthefollow．up．Forpatientswhowereolderthan65yearsol

8、d，operativetreatment4万方数据英文摘要——————————————————————————————————————————————————一一_