Comparison of two surgical methods for C3 distal radius fractures
WU Lei1, WANG Yanhao2, WU Wu3
1. Department of Rehabilitation Medicine and Physiotherapy, Tianjin Municipal Corps Hospital of Chinese People's Armed Police Force,Tianjin 300252, China; 2. Department of Rehabilitation Medicine and Physiotherapy, Xinjiang Autonomous Regional Corps Hospital of Chinese People's Armed Police Force, Urumqi 830002, China; 3. the Second Department of Characteristic Specialty,Hunan Provincial Corps Hospital of Chinese People's Armed Police Force, Changsha 410006, China
Abstract：Objective To investigate the difference of two surgical methods for C3 distal radius fractures.Methods Clinical data of 49 patients with C3 distal radius fractures treated at Xinjiang Autonomous Regional Corps Hospital of Chinese People's Armed Police Force from March 2019 to June 2021 were retrospectively analyzed. Among them, 28 cases were treated with external fixation brackets combined with Kirschner wires (stent group) and 21 cases were treated with T-plate (plate group). Based on the results of the last follow-up after surgery, imaging measurements were conducted to evaluate the ulnar deviation angle and palmar inclination angle of the affected side of the two groups of patients, and the active range of motion of the affected side was measured and statistically analyzed. PRWE score was used to understand the impact of the function of the affected limb on the patient's daily life and the patient's satisfaction with the therapeutic effect.Results All patients were followed up for 12 months. The recovery of ulnar deviation angle (22.23°±1.36°) in the stent group was better than that in the steel plate group (21.09°±1.19°), and the difference was statistically significant (P<0.05). The postoperative ulnar deviation angle of the wrist joint in the stent group (27.04°±2.58°) was greater than that in the steel plate group (25.24°±3.07°), and the difference was statistically significant (P<0.05). The PRWE score of the stent group was (17.21±4.78), and that of the steel plate group was (20.71±5.58), with statistically significant difference (P<0.05).Conclusions The surgical treatment of C3 distal radius fractures with external fixation brackets combined with Kirschner wires can help restore the ulnar deviation angle and ulnar deviation function, achieve good clinical satisfaction, and is characterized by flexible intraoperative operation method, which has certain advantages for cases with high degree of comminution and is worthy of clinical use.
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2024, Vol. 35 
