双小钢板固定尺桡骨干骨折△

Double mini plates for internal fixation of ulnar and radial shaft fractures

摘要:

［目的］ 探讨双小钢板 （掌骨钢板） 治疗尺桡骨干骨折的临床疗效。［方法］ 2019 年 3 月—2021 年 3 月对 16 例尺桡骨干骨折患者采用双掌骨钢板固定，评价临床与影像资料。［结果］所有患者均顺利完成手术，术中均无严重并发症。随访时间平均（19.4±3.2）个月。与术后 3 个月相比，术后 6 个月前臂旋前 ROM、前臂旋后 ROM 显著增加（P<0.05），DASH 评分及 GE 评级结果显著改善（P<0.05），G-E 评级术后 6 个月优良率 100%。至末次随访时，所有患者均骨性愈合，无固定物松动和断裂情况发生。［结论］双掌骨钢板固定具有体积小、血运破坏小等优势，可有效治疗尺桡骨干骨折。

Abstract:

[Objective] To explore the clinical consequences of double mini plates for internal fixation of ulnar and radial shaft frac- tures. [Methods] A retrospective study was done on 16 patients who received open reduction and internal fixation (ORIF) of ulnar and radial shaft fractures with double mini plate (the metacarpal plate) in our department from March 2019 to March 2021. The clinical and radiograph- ic documents were evaluated. [Results] All the patients had ORIF completed successfully, with no serious intraoperative complications, and followed up for a mean of (19.4±3.2) months. The supernation and pronation range of motions (ROMs) significantly increased, additionally, the DASH score, Grace and Eversmann scale significantly improved at 6 months compared with those at 3 months postoperatively (P＜0.05) , with excellent rate of 100% in term of Grace and Eversmann scale at 6 months. By the time of the latest follow up, fracture healing achieved in all the patients without implant loosening or breaking. [Conclusion] The double metacarpal plates are feasible and effective for internal fixation of ulnar and radial shaft fractures, with advantages of less occupation and minimizing intervention of local blood supply.