Abstract：Objective To study the clinical efficacy of the volar approach and the dorsal approach in the treatment of unstable fractures of distal radius. Methods Fifty-nine patients with unstable fractures of distal radius who were treated with open reduction and locking compression plate were selected from Tibet Autonomous Region Corps Hospital of Chinese People’s Armed Police Force from June 2016 to June 2021. According to the displacement trend of distal radius fractures, they were divided into the volar approach group (31 cases) and the dorsal approach group (28 cases). The postoperative palmar angle, radial height, ulnar angle, the incidence of early complications within 1 month after operation, the incidence of long-term complications within 6 months after operation, and the wrist function at 6 months after operation were compared between the two groups. Results There were no statistically significant differences in palmar tilt angle, radius height, ulnar angle, length of hospital stay or healing time between the two groups between the two groups (P＞0.05) . The operative time was shorter in volar approach group (85.50±11.21 min) than in dorsal approach group (94.75±15.55 min), the intraoperative bleeding volume was greater in volar approach group (125.54±28.78 ml) than in the dorsal approach group (110.78±25.71 ml), and the differences were statistically significant (P<0.05). In the comparison of recent complications 1 month after surgery, there were 4 cases of median nerve injury in volar approach group, which was more than that in the dorsal approach group, but the rate of tendon injury was lower than that in the dorsal approach group, and the difference was statistically significant (P<0.05). There was no statistically significant difference in the incidence of radial artery injury, incisional infection, or radial nerve injury between the two groups (P＞0.05). There was no significant difference in the 6-month long-term complication rate or the excellent and good recovery rate of wrist joint function between the two groups (P>0.05). Conclusions Different approaches based on different displacement trends can effectively treat unstable fractures of distal radius and regain stability of the wrist joint, which can obtain positive clinical outcomes.
白勇鑫, 周超, 范天昌, 刘贵聪, 胡军, 周维山. 掌侧与背侧入路治疗桡骨远端不稳定型骨折疗效比较[J]. 武警医学, 2023, 34(7): 586-588.
BAI Yongxin, ZHOU Chao, FAN Tianchang, LIU Guicong, HU Jun, ZHOU Weishan. Comparison of clinical efficacy of volar and dorsal approaches in treatment of unstable fractures of distal radius. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(7): 586-588.
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