Abstract:

Objective　To investigate the effect of wrist arthroscopic assisted Wristore external fixator for patients with Barton fractures. Methods　A total of 100 patients with Barton fractures treated in Liaocheng Third People's Hospital from December 2019 to December 2022 were selected for the randomized controlled trial, and were divided into a control group and an observation group by the random number table method, with 50 cases in each group. There were 26 males and 24 females in the control group; they were (40.26±3.58) years old. There were 22 males and 28 females in the observation group; they were (43.55±2.44) years old. The control group took routine treatment; in addition, the observation group took wrist arthroscopy-assisted Wristore external fixation. The scores of Gartland-Werley wrist function and Visual Analogue Scale (VAS), joint mobility, and incidences of complications were compared between the two groups. t and χ² tests were applied. Results　After the treatment, the score of Gartland-Werley wrist function in the observation group was lower than that in the control group [(5.29±0.61) vs. (12.42±2.90)], with a statistical difference (t=17.013; P<0.05). The scores of VAS 1 week and 1 month after the surgery in the observation group were lower than those in the control group [(3.24±1.16) vs. (6.88±1.33) and (1.45±0.94) vs. (4.63±1.11)], with statistical differences (t=14.585 and 15.459; both P<0.05). The joint mobility of the observation group was better than that of the control group [82% (41/50) vs. 42% (21/50)], with a statistical difference (t=16.978; P<0.05). The incidence of complications in the observation group was lower than that in the control group [12% (6/50) vs. 48% (24/50)], with a statistical difference (χ²=15.429; P<0.05). Conclusion　Wrist arthroscopy-assisted Wristore external fixation in the treatment of patients with Barton fractures is effective, and can significantly improve their wrist function, reduce their pain level, increase their joint mobility, and reduce the incidence of complications, so it is worth for widespread application in clinical practice.

Key words:

Arthroscopy, Wristore external fixator, Barton fractures, Pain level, Wrist function

摘要：

目的　探讨腕关节镜辅助Wristore外固定架治疗Barton骨折患者的效果。方法　选取2019年12月至2022年12月聊城市第三人民医院收治的100例Barton骨折患者进行随机对照试验，采用随机数字表法将其分为对照组和观察组，各50例。对照组男26例，女24例，年龄（40.26±3.58）岁；观察组男22例，女28例，年龄（43.55±2.44）岁。对照组采用常规治疗方法，观察组在常规治疗基础上采用腕关节镜辅助Wristore外固定架进行治疗。比较两组Gartland-Werley腕关节功能评分、疼痛视觉模拟量表（Visual Analogue Scale，VAS）评分、关节活动度及并发症发生率。统计学方法采用t检验、χ²检验。结果　治疗后，观察组Gartland-Werley腕关节功能评分（5.29±0.61）分，显著低于对照组的（12.42±2.90）分，差异有统计学意义（t=17.013，P<0.05）。观察组术后1周、1个月VAS评分均低于对照组［（3.24±1.16）分比（6.88±1.33）分、（1.45±0.94）分比（4.63±1.11）分］，差异均有统计学意义（t=14.585、15.459，均P<0.05）。观察组关节活动度优于对照组［82%（41/50）比42%（21/50）］，差异有统计学意义（χ²=16.978，P<0.05）。观察组并发症发生率低于对照组［12%（6/50）比48%（24/50）］，差异有统计学意义（χ²=15.429，P<0.05）。结论　腕关节镜辅助Wristore外固定架治疗Barton骨折患者效果良好，可以显著改善患者腕关节功能，降低疼痛程度，提高关节活动度，减少并发症的发生，值得在临床上广泛应用。

关键词:

关节镜, Wristore外固定架, Barton骨折, 疼痛程度, 腕关节功能