摘要
目的探讨治疗复杂桡骨远端骨折（AO分型的B型和c型）的方法。方法2005年6月-2007年6月手术治疗78例（83侧）复杂桡骨远端骨折，男51例，女27例；平均年龄34．6岁。按AO分型：B1型12侧，B2、B3型22侧，C1型21侧，C2型16侧，C3型12侧。手术采用切开直视下关节面复位、撬拨复位植骨支撑矫正桡骨远端掌倾角和尺偏角、应用外固定支架固定等方法。结果全部患者得到随访，平均随访时间10．5个月。术后关节面塌陷、移位均〈2mm，掌倾角平均10．6°，尺偏角平均20．3°。全部骨性愈合，以Garland and Werley评分方法评定腕关节功能：优33侧，良41侧，可7侧，差2侧，优良率89％。结论手术治疗可使关节面复位、可矫正掌倾角和尺偏角，应用外固定支架消除了前臂的轴向短缩应力，是治疗桡骨远端复杂骨折的有效方法。
Objective To discuss methods treating complex distal radius fractures （types B and C fractures according to AO classification）. Methods Seventy-eight patients （83 fracture parts） with complex distal radius fractures were treated by surgical operation from June 2005 to June 2007. There were 51 males and 27 females at an average age of 34.6 years. According to AO classification, there were 12 type B1 fractures, 22 types B2 and B3, 21 type C1, 16 type C2 and 12 type C3. The operation involved open reduction, external fixator, bone grafting for correcting the palm tilted angle and the ulna deviated angle. Results All patients were followed up for an average period of 10.5 months. After operation the sinking or displacement of the articular surface was less than 2 mm, with average palm tilted angle of 10.6°and average ulna deviated angle of 20.3°. All fractures were healed. The joint function was assessed by Gatrland and Werley score, which showed excellent result in 33 patients, good in 41, fair in 7 and poor in 2, with excellence rate of 89%. Conclusions Surgical operation is effective for treatment of complex distal radius fractures, for it can reduce the injured articular surface, correct the palm tilted angle and the ulna deviated angle and eliminate forearm longitudinal shortening stress.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2008年第10期820-822,共3页
Chinese Journal of Trauma
关键词
桡骨骨折
外固定支架
外科手术
Radius fractures
External fixators
Surgical procedures, operative
