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在完全关节性 (AO/OTA类型23C) 远半径骨折时,与背桥相比,Volar锁定板

Thomas J Carroll¹, Akhil Dondapati¹, Richard Lander¹

¹University of Rochester Medical Center, Department of Orthopaedic Surgery, 10 Miracle Mile Drive, Rochester, NY, 14623, USA.

Journal of hand and microsurgery

|October 2, 2025

概括

与背桥 (DBP) 相比,VLP提供了优越的手腕运动范围,强度和放射性结果,用于远半径骨折. 在DBP中,延迟结合和肌破裂的发生率更高.

科学领域:

整形外科手术整形外科手术
创伤外科手术创伤外科
手术手术手术手术手术

背景情况:

排骨锁定涂层 (VLP) 和背桥涂层 (DBP) 是完整的关节远半径骨折 (DRF) 的外科选择.
对于DRF的VLP和DBP之间的直接比较研究是有限的.
这项研究解决了这些固定方法在AO/OTA 23C DRF中缺乏直接比较的问题.

研究的目的:

为了比较VLP与DBP的功能性,放射性和患者报告的结果,用于完整的关节 (AO/OTA 23C) DRFs.
为了评估运动范围,力量和患者报告得分的差异.
评估两种手术技术之间的放射性参数和并发症率.

主要方法:

对18-90岁的患者进行回顾性队列研究,这些患者接受了AO/OTA 23C DRFs的VLP或DBP.
不包括多创伤患者和接受修复手术的患者.
倾向性得分匹配用于比较6个月后VLP和DBP组之间的结果,包括运动范围,PROMIS得分和X射线测量.

主要成果:

在倾向匹配后,1069名VLP患者与214名DBP患者进行了比较.
与VLP相比,DBP组的延迟结合率 (4.2%对2.0%) 和肌破裂率 (3.3%对0.5%) 较高.
VLP组表现出明显更大的手腕运动范围,握力,PROMIS UE和PF分数,更好的辐射高度和倾斜,以及较少的关节脱落和飞行倾斜 (p < 0.05).

结论:

在完整的关节远半径骨折中,VLP与背桥 (DBP) 相比,在6个月后具有更好的功能和放射性结果.
DBP与延迟结合和肌破裂的风险增加有关.
在6个月的随访期间,VLP和DBP都显示了类似的修复手术,恶性结合和感染率.

关键词:

压缩性骨折是指压缩性骨折的发生.距离半径骨折距离半径骨折背部桥梁的涂层是背面的桥梁.一个承诺,一个承诺.沃拉尔锁定了板,可以锁定.

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