声板与基尔施纳电线固定相比,在距离半径的关节内断裂中
Barada Prasanna Samal1, Sasmita Pradhan2, Rashmi Ranjan Mohanty3
1Department of Orthopeadics, PRM Medical College and Hospital, Odisha, India.
Journal of pharmacy & bioallied sciences
|October 30, 2025
概括
在远距离半径骨折中,Volar Plating提供了比Kirschner-wire固定更好的结果. 这种方法可以加快愈合速度并改善手腕功能,特别是在复杂的病例中.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 生物机械工程 生物机械工程
背景情况:
- 距离半径骨折越来越常见,受骨质疏松症和体育伤害的影响.
- 关节内远半径骨折需要有效的治疗以获得最佳的恢复.
研究的目的:
- 为了比较 volar plating 与 Kirschner-wire (K-wire) 固定用于关节内远半径骨折的临床,功能和放射性结果.
主要方法:
- 一项前性随机研究,涉及50名患有关节内远半径骨折的患者.
- 患者被分配到飞涂层 (25) 或K线固定 (25).
- 通过MAYO手腕评分,DASH评分,运动范围,握力和放射性评估来评估结果.
主要成果:
- 状涂层组的结合时间显著缩短 (6.72周与8.64周相比;P=0.04).
- 在涂层组中观察到优异的功能结果:较高的MAYO分数 (87.8比73.6;P=0.001) 和较低的DASH分数 (7.86比13.94;P=0.03).
- 随着飞行板的使用,人们注意到放射性参数和握力得到了改善.
结论:
- 与K-wire固定相比,Volar板在关节内远半径骨折中表现出优异的功能和放射性结果.
- 这种优势在处理复杂的远端半径骨折时尤为明显.
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