掌侧和背侧入路治疗桡骨近端骨折的比较。

Comparison of Volar and Dorsal approaches for surgical treatment in fracture of proximal half of the radius.

机构信息

Seyed Abdolhossein Mehdi Nasab, Associate Professor of Orthopaedic Surgery, Musculoskeletal and Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Nasser Sarrafan, Associate professor Of Orthopaedic surgery, Musculoskeletal and Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Pak J Med Sci. 2013 Apr;29(2):532-5. doi: 10.12669/pjms.292.3226.

DOI:10.12669/pjms.292.3226

PMID:24353571

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3809261/

Abstract

OBJECTIVE

Fracture of the proximal half of the radius shaft can be exposed by either one of volar or dorsal approaches. The aim of this study was to compare the results of volar and dorsal approach for surgical treatment of proximal half fracture of the radius.

METHODOLOGY

This prospective study was performed from April 2008 to March 2012 in two teaching hospitals. Seventy adults patients with closed fracture in proximal half of the radius or radius and ulna were operated on and fixed using small plate and screw by volar approach (VA) (39 patients) and dorsal approach (DA) (31 patients). Comparison of the results in both surgical approach were the primary measurement outcome. Duration and time of procedure, rate and time of fracture union and motion of the forearm were assessed at 4 months after operation.

RESULTS

Mean age of the patients with VA and DA was 25.3 and 26.5 years respectively. There was 26 male and 13 female in VD and 22 male and 9 female in DA patients. Radial nerve injury in VA and DA occurred in three and two patients, infection in one and nonunion in one other patient was seen in each group. There was no significant difference in duration of procedure or time of union after both approaches =0.643. Mean rotation of forearm was 135 deg. in VA, and 138 deg. in DA patients at 4 months post surgery.

CONCLUSION

There was no significant difference in term of fracture union, early complications, and range of forearm rotation between volar and dorsal approach for the fixation of radius fractures in its proximal half.

摘要

目的

桡骨干近端的骨折可以通过掌侧或背侧入路来暴露。本研究的目的是比较掌侧和背侧入路治疗桡骨干近端骨折的结果。

方法

这项前瞻性研究于 2008 年 4 月至 2012 年 3 月在两家教学医院进行。70 例成人闭合性桡骨干近端或桡尺骨骨折患者采用掌侧入路（VA）（39 例）和背侧入路（DA）（31 例）进行手术治疗，使用小钢板和螺钉固定。主要测量结果为两种手术入路的结果比较。术后 4 个月评估手术时间、手术时间、骨折愈合率和前臂活动度。

结果

VA 和 DA 组患者的平均年龄分别为 25.3 岁和 26.5 岁。VA 组有 26 名男性和 13 名女性，DA 组有 22 名男性和 9 名女性。VA 和 DA 组各有 3 例和 2 例出现桡神经损伤，各有 1 例出现感染和 1 例出现骨不连。两种方法的手术时间或愈合时间均无显著差异（=0.643）。术后 4 个月，VA 组患者前臂旋转平均为 135 度，DA 组为 138 度。