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首页> 外文期刊>Open Journal of Urology >Comparison between Distractor Application on Both Radial & Ulnar Side and Radial Side Only for Fracture Distal Radius with Ulnar Styloid Fracture
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Comparison between Distractor Application on Both Radial & Ulnar Side and Radial Side Only for Fracture Distal Radius with Ulnar Styloid Fracture

机译：Ul骨尺骨骨折的Dis骨远端Rad骨和Ul侧和and侧仅应用Dis骨的比较

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Background: Fracture of distal radius with involvement of the ulnar styloid process is a common clinical problem. It can be treated conservatively, usually involving wrist immobilization in plaster cast or surgically. A key method of surgical fixation is external fixation by distractor. Distractor can be applied either only on the radial side or on both ulnar and radial sides. Materials and Methods: A prospective randomized and comparative study of 1 year duration was conducted on 32 patients admitted in the Department of Orthopaedics of BSMC & H in the age group of 20 to 75 years old with AO types B and C distal radius fracture along with involvement of the ulnar styloid process. The parameters studied were restoration of radial length, restoration of radial angle, intracarpal step-off and palmar tilt which were statistically evaluated and Fisher’s exact test was performed. The two tailed P-value was calculated and both the groups were statistically compared. Results: In our study, 37.5% patients in Group A and 81.25% in Group B had a radial difference Table 1, Chart 1). 43.75% patients in Group A and 87.5% in Group B had radial angle Table 2, Chart 2). 31.25% in Group A and 75% had intra carpal step off Table 3, Chart 3). 62.5% had an abnormal palmar tilt in Group A while only 6.25% had an abnormal palmar tilt in Group B which is extremely statistically significant. On an average, 2 mm of distraction was required in 75% patients of Group A while only 30% patients in Group B required distraction (Table 4, Chart 4). Conclusion: In our study, the radial difference, radial angle, intra carpal step off and palmar tilt returned significantly to normal in the patients treated with distractor on radial side only when compared with distractor application on both radial and ulnar sides for distal radius fracture with ulnar styloid process involvement. Also post-operative distraction required under image intensifier was higher in the group treated with distractor on either side than those with distractor only on radial side.
机译：背景：尺骨茎突累及of骨远端骨折是常见的临床问题。可以保守治疗，通常将手腕固定在石膏或外科手术中。手术固定的关键方法是牵张器进行外固定。牵张器可仅应用在side骨侧或尺侧和radial骨侧。材料与方法：对年龄在20至75岁，年龄在20至75岁之间的BSMC和H骨科的B型和C型distal骨远端骨折并伴有骨性关节炎的32例患者进行了为期1年的前瞻性随机对照研究。累及尺骨茎突。所研究的参数是restoration骨长度的恢复，restoration骨角的恢复，掌骨内脱位和手掌倾斜，这些均经过统计学评估，并进行了Fisher精确检验。计算两个尾部的P值，并对两组进行统计学比较。结果：在我们的研究中，A组中37.5％的患者和B组中81.25％的患者的径向差异见表1，表1）。 A组的43.75％的患者和B组的87.5％的患者的radial角见表2，表2）。组3中的31.25％和腕部内下移75％（表3，图3）。 A组中有62.5％的人有不正常的手掌倾斜，而B组中只有6.25％的人有不正常的手掌倾斜，这在统计学上非常显着。平均而言，A组中75％的患者需要2 mm的牵引力，而B组中只有30％的患者需要牵引力（表4，图4）。结论：在我们的研究中，仅当and骨远端骨折的radial骨和尺侧均使用tract骨牵引器时，treated侧treated骨牵引器患者的difference骨差异，radial骨角、,骨内下移和手掌倾斜才能恢复正常。尺骨茎突受累。同样，在两侧使用牵引器的组中，在图像增强器下所需的术后牵引力要高于仅在radial骨侧使用牵引器的组。

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