摘要
报告４１例Ｂａｒｔｏｎ骨折，采用闭合复位石膏夹外固定或经皮穿针内固定疗法，经６～４５个月随访观察，优良率达８７．８％。认为，根据不同的损伤机制及创伤解剖，可将掌、背侧Ｂａｒｔｏｎ骨折各分为由直接暴力所致的Ⅰ型骨折及由间接暴力所致的Ⅱ型骨折。治疗上背侧Ⅱ型骨折与掌侧Ⅰ型骨折应固定于腕背伸位；而背侧Ⅰ型骨折与掌侧Ⅱ型骨折，则应固定于腕掌屈位。对不稳定型骨折，则应行经皮穿针内固定术以防止骨折再移位。
Fortyone cases of Barton's fracture were treated by closed reduction and plaster-splint external or percutaneous pinning internal fixation. The follow'up of 6-45 months showed an excellentgood rate of 87.8 %. According to different injury mechanism and traumatogenetic anatomy, each of volar and dorsal Bartons fractures was classified into Type Ⅰ fracture caused by direct violence and Type Ⅱ fracture caused by indirect violence. In treatment, dorsal Type Ⅱ and volar Type Ⅰ fractures should be fixated in a dorsoextension position of the wrist, while dorsal Type Ⅰ and volar Type Ⅱ fractures be fixated in a palmoflexion position of the wrist; unstable fracture should be treated by percutaneous pinning internal fixation as to prevent fracture redisplacement.
出处
《中医正骨》
1998年第5期13-14,共2页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
骨折
BARTON骨折
损伤
诊断
治疗
Barton's fracture/injury Barton's fracture/diagnosis and treatment clinical study
