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[1]曾武,林曙峰,朱俊峰,等.女性骨質(zhì)疏松性橈骨遠端骨折鎖定鋼板內(nèi)固定術(shù)后腕關(guān)節(jié)功能恢復(fù)的影響因素分析[J].中醫(yī)正骨,2017,29(08):39-41.
　ZENG Wu,LIN Shufeng,ZHU Junfeng,et al.Analysis of factors influencing wrist function recovery after locking plate internal fixation for treatment of osteoporotic distal radius fractures in female[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(08):39-41.
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女性骨質(zhì)疏松性橈骨遠端骨折鎖定鋼板內(nèi)固定術(shù)后腕關(guān)節(jié)功能恢復(fù)的影響因素分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年08期
頁碼:
39-41
欄目:
臨床研究
出版日期:
2017-08-20

文章信息/Info

Title:
Analysis of factors influencing wrist function recovery after locking plate internal fixation for treatment of osteoporotic distal radius fractures in female
作者:
曾武; 林曙峰; 朱俊峰; 巫志強
浙江省遂昌縣人民醫(yī)院,浙江 遂昌 323399
Author(s):
ZENG Wu; LIN Shufeng; ZHU Junfeng; WU Zhiqiang
The People's Hospital of Suichang county,Suichang 323399,Zhejiang,China
關(guān)鍵詞:
骨質(zhì)疏松性骨折;  橈骨骨折;  橈腕關(guān)節(jié);  關(guān)節(jié)功能;  骨折固定術(shù); 內(nèi);  Logistic回歸;  女性
Keywords:
Key words osteoporotic fractures;  radius fractures;  wrist joint;  joint function;  fracture fixation; internal;  Logistic regression;  femininity
摘要:
目的:探討女性骨質(zhì)疏松性橈骨遠端骨折鎖定鋼板內(nèi)固定術(shù)后腕關(guān)節(jié)功能恢復(fù)的影響因素。方法:收集68例因骨質(zhì)疏松性橈骨遠端骨折接受切開復(fù)位掌側(cè)鎖定鋼板內(nèi)固定術(shù)治療的女性患者的病例資料。均為單側(cè)閉合性骨折,所有骨折均波及關(guān)節(jié)面,A2型28例、A3型12例、C2型18例、C3型10例。通過查閱患者的病例資料,提取年齡、體質(zhì)量指數(shù)、腰椎骨密度、掌傾角、尺偏角、橈骨高度及Cooney腕關(guān)節(jié)評分(所有數(shù)據(jù)均選擇行內(nèi)固定拆除術(shù)時的數(shù)據(jù))。在X線片上測定雙側(cè)掌傾角、尺偏角、橈骨高度,以健側(cè)值減去患側(cè)值后取絕對值,分別記為掌傾角差值、尺偏角差值及橈骨高度差值。依據(jù)Cooney腕關(guān)節(jié)評分將患者分為恢復(fù)組(評分≥80分)和未恢復(fù)組(評分<80分)。結(jié)果:恢復(fù)組40例,未恢復(fù)組28例。單因素Logistic回歸分析結(jié)果顯示,掌傾角差值、尺偏角差值及橈骨高度差值與術(shù)后腕關(guān)節(jié)功能恢復(fù)有關(guān)聯(lián)[OR=2.045,P=0.043; OR=2.238,P=0.019; OR=1.722,P=0.005],年齡、體質(zhì)量指數(shù)及腰椎骨密度與術(shù)后腕關(guān)節(jié)功能恢復(fù)無明顯關(guān)聯(lián)[OR=0.998,P=0.975; OR=0.999,P=0.999; OR=4.927,P=0.155]。多因素Logistic回歸分析結(jié)果顯示,掌傾角差值、尺偏角差值及橈骨高度差值是術(shù)后腕關(guān)節(jié)功能恢復(fù)的影響因素[OR=2.190,P=0.023; OR=2.296,P=0.012; OR=1.623,P=0.005]。結(jié)論:對于采用鎖定鋼板內(nèi)固定術(shù)治療的女性骨質(zhì)疏松性橈骨遠端骨折患者,患側(cè)與健側(cè)掌傾角、尺偏角及橈骨高度的差值是腕關(guān)節(jié)功能恢復(fù)的影響因素。
Abstract:
ABSTRACT Objective:To explore the factors influencing wrist function recovery after locking plate internal fixation for treatment of osteoporotic distal radius fractures in female.Methods:The medical records of female patients with osteoporotic distal radius fractures who were treated with open reduction and volar locking plate internal fixation were collected.All of the fractures belonged to unilateral closed fractures and spreaded to joint surfaces.According to classification of fracture,the fractures belonged to types A2(28),A3(12),C2(18)and C3(10).The data,including ages,body mass indexes,lumbar vertebra bone densities,volar tilt angles,radial inclination angles,radial heights and Cooney wrist scores when the internal fixation system was removed,were extracted from patient's medical records.Bilateral volar tilt angles,radial inclination angles and radial heights were measured on the X-ray films,and the absolute values of difference between injured side and uninjured side were recorded as volar tilt angle difference,radial inclination angle difference and radial height difference respectively.The patients were divided into recovery group(score of ≥80 points)and un-recovery group(score of <80 points)according to the Cooney wrist scores.Results:Forty patients were in recovery group and 28 patients were in un-recovery group.The result of single-factor logistic regression-analysis demonstrated that volar tilt angle difference,radial inclination angle difference and radial height difference had association with postoperative wrist function recovery(OR=2.045,P=0.043; OR=2.238,P=0.019; OR=1.722,P=0.005); and age,body mass index and lumbar vertebra bone density had no apparent association with postoperative wrist function recovery(OR=0.998,P=0.975; OR=0.999,P=0.999; OR=4.927,P=0.155).The result of multiple-factor logistic regression-analysis demonstrated that volar tilt angle difference,radial inclination angle difference and radial height difference influenced postoperative wrist function recovery(OR=2.190,P=0.023; OR=2.296,P=0.012; OR=1.623,P=0.005).Conclusion:The difference between injured side and uninjured side in volar tilt angles,radial inclination angles and radial heights were the influencing factors of wrist function recovery in female patients with osteoporotic distal radius fractures who are treated with locking plate internal fixation.

參考文獻/References:

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更新日期/Last Update: 2017-12-29