Oddział Chirurgii Urazowo-Ortopedycznej Szpitala Powiatowego im. L. Rydygiera w Brzesku, Polska / Department of Orthopaedics and Traumatology, Rydygier Hospital Brzesko, Poland.
Wydział Ochrony Zdrowia PWSZ w Tarnowie, Polska / Institute of Health Care, State Higher Vocational School, Tarnów, Poland.
Ortop Traumatol Rehabil. 2021 Dec 31;23(6):401-410. doi: 10.5604/01.3001.0015.6355.
Unstable and comminuted distal radial fractures require surgical treatment by percutaneous insertion of Kir-schner wires, open reduction and fixation with a non-locking or locking plate or with an external device. The aim of this paper was to try to answer the following question: are there differences in functional treatment outcomes in patients after surgery with the use of Kirschner wires vs LCP plate fixation?
The study group included 100 patients after surgical treatment by closed reduction and simple fixation with Kirschner wires (50 patients) and by open reduction and LCP locking plate fixation (50 patients). The study assessed the following parameters: global grip strength, pain severity in a VAS scale, range of motion, functional status of the wrist based on the Fernandez classification, quality of life according to the QuickDASH score, and the frequency of complications. These parameters were assessed at 6 and 12 months after surgery.
An assessment of the treatment outcomes at 6 and 12 months after surgery showed statistically significant differences between the treatment methods in the following parameters: pain severity, global grip strength and range of motion in the sagittal plane. A comparison of the functional status of the wrist at 6 and 12 months between the groups showed considerably worse results in the Kirschner wire fixation group. The frequency of postoperative complications at 12 months was 6% in the Kirschner wire fixation group and 2% in the LCP plate fixation group.
不稳定和粉碎性桡骨远端骨折需要通过经皮插入克氏针、切开复位和非锁定或锁定钢板固定或外部装置进行手术治疗。本文旨在尝试回答以下问题：在使用克氏针与 LCP 钢板固定的患者中，功能治疗结果是否存在差异？
研究组包括 100 例经闭合复位单纯克氏针固定（50 例）和切开复位 LCP 锁定钢板固定（50 例）的手术治疗患者。研究评估了以下参数：总体握力、VAS 量表上的疼痛严重程度、活动范围、基于 Fernandez 分类的腕关节功能状态、根据 QuickDASH 评分的生活质量以及并发症的频率。这些参数在手术后 6 个月和 12 个月进行评估。
手术后 6 个月和 12 个月的治疗结果评估显示，两种治疗方法在以下参数方面存在统计学显著差异：疼痛严重程度、总体握力和矢状面活动范围。对两组术后 6 个月和 12 个月腕关节功能状态的比较显示，克氏针固定组的结果明显较差。克氏针固定组术后 12 个月并发症的发生率为 6%，LCP 钢板固定组为 2%。
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