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克氏针内固定结合外固定支架治疗桡骨远端粉碎性骨折 被引量:1

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摘要 ①目的探讨克氏针内固定结合外固定支架治疗桡骨远端粉碎性骨折的方法与疗效。②方法采用克氏针内固定结合外固定支架治疗桡骨远端粉碎性骨折22例。按AO/ASIF分型:A3型2例,B2型2例,B3型3例,C2型8例,C3型7例。③结果本组22例随访7~23个月,平均12个月。术后测量掌倾角0°~19°(平均13°),尺偏角为17°~37°(平均26.4°),骨折愈合时间为4~8周,平均5.6周。无针道感染与骨不连发生,有1例因骨折缺损粉碎严重形成台阶为3mm。术后腕关节功能:优12例,良7例,可2例,差1例,优良率86.4%。④结论克氏针内固定可以较好地恢复腕关节面的平整,外固定支架很好地维持了桡骨远端关节内骨折的稳定,两者结合治疗桡骨远端粉碎性骨折,具有复位良好、固定可靠、疗效满意、并发症少等优点。
出处 《华北煤炭医学院学报》 2009年第4期538-539,共2页 Journal of North China Coal Medical College
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  • 1Waters PM, Mintzer CM, Hipp JA, et al. Noninvasive measurement of dis-tal radius instability [ J ]. J Hand Surg ( Am ), 1997,22 : 572.
  • 2荣国威,翟桂华.骨科内固定学[M].第3版.北京:人民卫生出版社,1995:415.
  • 3Metha JA, Bain GI, Heptinstall BJ. Anatomical reduction of intra - attic - ular fractures of the distal radius[ J]. J Bone Joint Surg(Br) ,2000, 82:79.
  • 4Swigart CR, Wolfe S W. Limited incision open techniques for distal radius fracture management. Orthop Clin North Am,2001,32(2) :317 - 327.
  • 5Edwards CC, Har-aszti CJ, McGillivary GR, et al. Intra - articular distal radius fractures:arthroscopic assessment of radiographically assisted reduction [ J ]. J Hand Surg Am ,2001,26:1036.
  • 6Kapoor H, Agaiwal A, Dhaon BK. Displaced in fra - articular fraeutres of dislal radius a canparativeevaluation of results follow irigelosed re - duction external fixationand open reduction with internal fixation[ J]. Injury ,2000,31:75.
  • 7王万宗,王秋根,张秋林,汤旭日,纪方,沈洪兴,王家林,何大为,王志伟,陆晴友,方大标,吴剑宏.外固定加有限内固定治疗桡骨远端粉碎性骨折[J].中华骨科杂志,2005,25(3):165-169. 被引量:72

二级参考文献10

  • 1RuediTP MurphyWM 戴魁戎 荣国威 王满宜译.骨折治疗的AO原则(第1版)[M].北京:华夏出版社,2003.207-209.
  • 2Dienst M, Wozasek GE, Seligson D. Dynamic external fixation for distal radius fractures. Clin Orthop, 1997, (338): 160-171.
  • 3Bruske J, Niedzwiedz Z, Bednarski M, et al. Acute carpal tunnel syndrome after distal radius fractures: long-temt results of surgical treatment with decompression and external fixator application. Chir Narzadow Ruchu Ortop Pol, 2002, 67: 47-53.
  • 4Sennwald GR, Della Santa D. Unstable fracture of the distal radius and its treatment: comparison of three techniques: external fixation.intramedullary pinning and AO plates. Chit Main, 2001, 20:218-225.
  • 5Kapoor H, Agarwal A, Dhaon BK. Displaced intra-articular fractures of distal radius: a comparative evaluation of results following closed reduction, external fixation and open reduction with internal fixation.Injury, 2000, 31: 75-79.
  • 6Goldfarb CA. Case controversy: distal radius OPINION: Arthroseopically assisted fracture fixation. J of Orthop Trauma, 2004. 18:251-258.
  • 7Kilian O, Bundner MS, Horas U, et al. Long-term results in the surgical treatment of pilon tibial fractures: a retrospective study.Chirurg, 2002, 73: 65-72.
  • 8Sakano H, Koshino T, Takeuchi R. et al. Treatment of the unstable distal radius fracture with external fixation and a hydroxyapatite spacer. J Hand Surg, 2001, 26: 923-930.
  • 9Kiyokawa K. Combination of solid-type artificial bone (Ceratite) and paste-type artificial bone (Biopex) to treat massive defects in cranial bone achieves good clinical results. J Jpn Soc Plast Reeonst Surg.2003, 23: 467.
  • 10汤锦波,徐燕,侍德.腕关节盘的解剖学研究及临床意义[J].中国临床解剖学杂志,2000,18(1):16-18. 被引量:23

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