掌侧万向锁定板治疗桡骨C3型骨折的临床分析

Clinical Analysis of Volar Universal Locking Plate in the Treatment of Type C3 Radial Fractures

摘要: 目的：研究桡骨远端C3型骨折行掌侧万向锁定钢板固定的临床疗效。方法：我院自2016年7月到2019年10月，有38例桡骨远端C3型骨折，均自掌侧入路采用掌侧万向锁定钢板固定。末次随访采用Jakim评分标准评定腕关节功能。结果：38例均获得随访，随访时间4~36个月。复查X线片显示骨折均愈合，关节面恢复平整，掌倾角、尺偏角及桡骨高度恢复正常。术后无骨折畸形愈合及不愈合、钢板螺钉松动或断裂等并发症发生。末次随访时腕关节功能按Jakim评分标准评定：优26例，良10例，可2例，优良率94.7%。结论：对桡骨远端C3型骨折，采用掌侧入路行掌侧万向锁定钢板固定可取得满意的疗效，术中骨折可获得牢固的固定，患者可早期进行功能锻炼。

Abstract: Purpose: To study the clinical effect of volar universal locking plate fixation for type C3 fractures of the distal radius. Methods: From July 2016 to October 2019, 38 cases of C3 type fractures of distal radius were treated by volar universal locking plate. The wrist function was evaluated by Jakim Score Standard at the last follow-up. Results: All 38 cases were followed up (4~36 months). The x-ray showed that all the fractures healed, the articular surface was flattened, the palm inclination angle, ulnar deviation angle and radius height returned to normal. There were no postoperative complications such as malunion or nonunion, plate and screw loosening or fracture. At the last follow-up, wrist function was evaluated according to Jakim score: excellent in 26 cases, good in 10 cases, good in 2 cases, excellent and good in 94.7%. Conclusion: For type C3 fractures of the distal radius, volar universal locking plate fixation through volar approach is effective, stable fixation can be achieved, and patients can perform early functional exercises.