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锁定钢板治疗桡骨远端AO-C型骨折的疗效分析.docx

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锁定钢板治疗桡骨远端AO-C型骨折的疗效分析 Abstract Objective:ToinvestigatetheclinicalefficacyoflockingsteelplateinthetreatmentofdistalradiusAO-Ctypefracture. Methods:Atotalof80patientswithdistalradiusAO-Ctypefractureswereselectedfromourhospitalandrandomlydividedintotwogroups.GroupA(n=40)wastreatedwithlockingsteelplatesandgroupB(n=40)wastreatedwithtraditionalsteelplates.Theoperationtime,intraoperativebloodloss,postoperativecomplications,wristfunctionrecovery,andbonehealingwerecomparedbetweenthetwogroups. Results:TheoperationtimeofgroupAwassignificantlyshorterthanthatofgroupB(P<0.05).TheintraoperativebloodlossofgroupAwassignificantlylessthanthatofgroupB(P<0.05).Therewasnosignificantdifferenceintheincidenceofpostoperativecomplicationsbetweenthetwogroups(P>0.05).ThewristjointfunctionscoreofgroupAwassignificantlyhigherthanthatofgroupB(P<0.05).Thehealingtimeofthetwogroupsoffractureswasnotsignificantlydifferent(P>0.05). Conclusion:LockingsteelplatetreatmentisasafeandeffectivemethodforthetreatmentofdistalradiusAO-Ctypefractures,withadvantagessuchasshortoperationtime,lessintraoperativebleeding,improvedwristjointfunction,andcomparablebonehealingtimewithtraditionalsteelplatetreatment. Keywords:Lockingsteelplate;DistalradiusAO-Ctypefracture;Clinicalefficacy Introduction Distalradiusfractureisoneofthemostcommonfracturesinclinicalpractice,accountingforabout15%ofallfractures.Itismorecommoninyoungandmiddle-agedpeopleandoftencausedbytrafficaccidents,fallsoroccupationalaccidents.ThedistalradiusAO-Ctypefractureisamoredifficulttypeoffracture,whichnotonlyinvolvesthefractureoftheradialdistalend,butalsotheinstabilityofthewristjoint.Traditionalsteelplatesareoftenusedforthetreatmentofthisfracture,butthecomplicationssuchasimplantfailure,nonunion,andpoorwristfunctionrecoverycannotbeignored.Thelockingsteelplateisanimprovedtypeofsteelplate,whichismoreresistanttopull-outandprovidesbetterstability,andhasbeengraduallyappliedinthefieldoffracturetreatment.Thisstudyaimstoinvestigatetheclinicalefficacyoflockingsteelplat