关键词: 掌侧锁定钢板, 骨质疏松, 关节内骨折, 石膏制动, 屈腕

Abstract: 【Abstract】 Objective To analyze the clinical effect of the treatment of osteoporotic distal radius fractures with the locking compression plate fixation and plaster immobilization. Methods 103 cases of osteoporotic distal radius fractures were recruited from June 2013 to June 2014 and assigned to two groups, observation group（n=52）and control group（n=51）. The patients in control group were treated with closed reduction and cast immobilization, and those in observation group were given locked volar plate and screws fixation. The wrist-hand functional improvement and fracture healing were observed in one year after treatment in two groups. Results The total effective rates of observation group and control group were 96.15% and 80.39%, having significant difference （P<0.05）. The back strength, cock waist, radial deviation, forearm rotation angle in observation were ameliorated much better than that in control group（P<0.05）. Conclusion The surgical procedure of palm side locking plate has more advan-tage of the closed reduce for intra-articular fractures of the distal radius combined with osteoporosis.

Key words: Locking plate fixation, Osteoporosis, Intra-articular fractures, Plaster external fixation