Palm Dorsal Approach Surgical Treatment Of Unstable Distal Radius Fracture Clinical Curative Effect Comparison

ObjectiveFractures of the distal radius is one of the most fracture types. Department of orthopedics doctors face in clinical, clinical fractures of the distal radius especially complex, unstable fractures also havein-depth study, but because of its diversity, uncertainty, the clinical department of orthopedics doctors often cause trouble, improper early treatment of distal radius fractures often lead to the lack of late wrist function, affect the patient daily life, the specific performance of the wrist joint weakness, chronic pain, flexion extension function is limited and so on, therefore, how to restore fracture patients with fracture end length, palmar tilt, ulnar inclination of distal radius, while avoiding complications, so that patients get good functional recovery. For simple fracture of the distal radius, treated by manipulative reduction, splint external fixation, good location relationship maintenance fracture, often can obtain good recovery, but the unstable distal radius fracture, operation is adopted in clinical treatment, with percutaneous Kirschner wire fixation, external bracket fixation and open reduction and internal fixation, the by study on open reduction and internal fixation in the volarand dorsal two kinds of operation mode into the road of distal radius fractures, complications were compared between the two kinds of mode quality in clinical and possible, analysis the reasons and put forward specific solutions, combined with the specific circumstances of the patients, and finally provide the best treatment option for unstable distal radius fracture patients, make patients get better functional recovery after. Combined with the First Affiliated Hospital of Guangzhou University of Chinese Medicine Department of orthopedics, wards and emergency, outpatient follow-upsurvey, retrospective analysis, analysis of the treatment effect, at the same time to study the tutor for many years clinical practice summary, hope to be able to provide help to clinical therapy.MethodBy collecting the first affiliated hospital of Guangzhou University of Chinese medicine emergency, outpatient and Ward’s patients with unstable distal radius fracture cases and contrast on dorsal lateral approach of two kinds of surgical operations and complications after recovery time, recovery time, and other aspects were compared statistically processed.Results50 cases of unstable fractures of distal radius were divided into two groups of A, B, respectively, using different operation ways of dorsal metacarpal, no statistical significance between the two groups after operation and back angle more contrast, ulnar deviation and radial height difference(P > 0.05), in the group of preoperative and postoperative, before operation and after comparative palmar tilt, radial ulnar deviation and height difference have significant difference (P< 0.05), no significant time at the end of follow-up of two kinds of wrist function approach scores and grip strength contrast difference (P> 0.05), into the road plate fixation can achieve good effect of dorsal metacarpal, fracture end to the palm side of the shift is suitable for volar approach, reduction and fixation of fracture end is simple, dorsal displacement of the patients, dorsal approach has obvious advantages, as far as possible anatomical reduction of fracture attention during operation, recovery the good relations between the lines of force, and protect the surrounding tissue, postoperative exercise actively, can achieve good effect.ConclusionFor unstable distal radius fractures of two surgical approaches are effective in wrist, a bony structures can be a good recovery, late recovery was good, complications and internal fixation of fractures after removed Basic can eliminate.