LIN Pan, ZHANG Yansong, SHANG Baojun. Effect of locking plate fixation through pronator quadratus muscle on wrist function of patients with distal radius fracture[J]. Journal of Clinical Medicine in Practice, 2020, 24(13): 44-46. DOI: 10.7619/jcmp.202013013
Citation: LIN Pan, ZHANG Yansong, SHANG Baojun. Effect of locking plate fixation through pronator quadratus muscle on wrist function of patients with distal radius fracture[J]. Journal of Clinical Medicine in Practice, 2020, 24(13): 44-46. DOI: 10.7619/jcmp.202013013

Effect of locking plate fixation through pronator quadratus muscle on wrist function of patients with distal radius fracture

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  • Received Date: March 15, 2020
  • Available Online: August 31, 2020
  •   Objective   To explore the effect of locking plate fixation through pronator quadratus muscle on wrist function of patients with distal radius fracture.   Methods   A total of 95 patients with distal radius fractures were randomly divided into two groups. Control group(n=47)was treated with external stent fixation, while observation group(n=48)was treated with locking plate fixation through pronator quadratus muscle. The operation indexes, wrist function and postoperative complications were compared between the two groups.   Results   The operation time, volume of intra-operative bleeding and fracture healing time in the control group were significantly longer or more than those in the observation group(P<0.05). In the observation group, the facet step, shortening of radius, Gartland-Werley score, ulnar inclination degree and palmar inclination degree were significantly better than those in the control group(P<0.05). The incidence of postoperative complications in the observation group was 6.25%, which was significantly lower than 21.28% in the control group(P<0.05).   Conclusion   Locking plate fixation through pronator quadratus muscle is effective in treatment of patients with distal radius fracture, which has the advantages of short operation time, less injury to the human body and low incidence of postoperative complications, and it can promote the recovery of wrist function.

  • 杨林. 锁定钢板与克氏针联合外固定支架对桡骨远端C1~3型骨折的疗效比较[J]. 广东医学, 2019, 40(13): 1940-1943.
    王皓楠, 温树正, 王继宏, 等. 桡骨远端骨折掌侧锁定钢板固定时检测背侧螺钉穿出透视方法的研究与进展[J]. 中国组织工程研究, 2020, 24(12): 1957-1961.
    姜保国, 王满宜. 关节周围骨折[M]. 北京: 人民卫生出版社, 2013: 307-307.
    颜灵松, 陈榆. 切开复位钢板与闭合复位外固定架治疗不稳定型桡骨远端骨折的临床研究[J]. 中国药物与临床, 2019, 19(24): 4349-4350.
    夏丽平, 杨德福, 郁辉, 等. 掌侧锁定钢板联合背侧植骨治疗C3型桡骨远端骨折的疗效观察[J]. 骨科, 2019, 10(4): 356-358.
    廖直斌, 卢俊彦, 吴翔鹏, 等. 掌侧入路桡骨远端万向锁定钢板内固定治疗粉碎性桡骨远端骨折的疗效分析[J]. 中国骨与关节损伤杂志, 2019, 34(9): 998-999.
    唐芳根, 钟俊桥, 刘建庭. 2.4 mm锁定加压接骨板治疗桡骨远端C型骨折的临床效果及腕关节功能评价[J]. 广东医学, 2019, 40(8): 1160-1163.
    王峰, 罗艳霞. 经掌侧入路锁定加压钢板内固定治疗不稳定右桡骨远端骨折的临床研究[J]. 河北医学, 2019, 25(4): 648-651.
    张立强, 来进杰, 胡兴中, 等. 经旋前方肌下插入钢板治疗桡骨远端骨折的疗效分析[J]. 浙江创伤外科, 2019, 24(5): 1014-1015.
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