标题：外固定支架与钢板内固定治疗桡骨远端不稳定型骨折的疗效比较

      作者：林奋强 1，蔡学海 2，林奋越 2
    （1.东莞市长安医院骨科，广东 东莞 523843；
2.汕尾市人民医院骨科，广东 汕尾 516600）

      卷次： 2014年25卷5期

      【摘要】 目的 探讨外固定支架与钢板内固定治疗不稳定型桡骨远端骨折的疗效差异。方法 206例不稳
定型桡骨远端骨折患者分为两组，103例进行内固定手术，另外103例采用外固定支架治疗。两组患者术后进行
一年半的随访，比较恢复情况。结果 按Gartland and Werley评分标准，外固定支架组优良率为84.5%，内固定组
优良率为85.4%，两者差异无统计学意义 (P>0.05)。针对不同AO分型的骨折，外固定支架与钢板内固定的治疗
效果不同。治疗B型骨折钢板内固定的优良率（84.1%）高于外固定支架（66.7%）(P<0.05)，治疗C型骨折外固定
支架的优良率（88.2%）高于钢板内固定（70.0%）(P<0.05)。结论 外固定支架与钢板内固定治疗桡骨远端不稳
定型骨折均有较好疗效。治疗方法可根据AO分型的不同进行选择。

      【关键词】 外固定支架；钢板内固定；桡骨远端不稳定型骨折；临床疗效

      【中图分类号】 R683.41 【文献标识码】 A 【文章编号】 1003—6350（2014）05—0656—03


Comparison of the clinical effect of external fixation and internal fixation in the treatment of unstable distal
radius fracture.
LIN Fen-qiang 1, CAI Xue-hai 2, LIN Fen-yue 2. 1. Department of Orthopaedics, Changan Hospital of
Dongguan, Dongguan 523843, Guangdong, CHINA; 2. Department of Orthopaedics, People's Hospital of Shanwei,
Shanwei 516600, Guangdong, CHINA

【Abstract】 Objective To evaluate the clinical curative effect of external fixation and internal fixation in the
treatment of unstable distal radius fracture. Methods Two hundred and six patients of unstable radial fracture were
selected as the research objects. All patients were divided into internal fixation group and external fixation group,
each with 103 cases. All the patients were followed up for 18 months, and the clinical curative effect was compared.
Results According to the Gartland and Werley Standard, the excellent or good rate in external fixation group was
84.5%, and that in internal fixation group was 85.4%, with no significant difference between the two groups (P>0.05).
Better clinical curative effect was shown in internal fixation group than external fixation group for Type B fracture
(84.1% vs 66.7%, P<0.05), while clinical curative effect was in external fixation group for type C fracture (88.2% vs
70.0%, P<0.05). Conclusion The external fixation and internal fixation in the treatment of unstable distal radius frac-
ture have equal curative effect and can be chosen according to the AO typing.

      【Key words】 External fixation; Internal fixation; Unstable distal radius fracture; Clinical effect
·论 著·