摘要
目的 探讨桡骨远端Barton骨折的手术方法及疗效观察。方法 对 1999年 6月至 2 0 0 2年3月收治的 2 6例Barton骨折的病人 ,其中背侧Barton骨折 12例 ,掌侧Barton骨折 14例 ,分别进行背侧及掌侧T形纯钛金属板钉内固定 ,术后进行早期功能锻炼。结果 2 6例全部得到随访 ,术后随访 5～ 18个月。X线片显示桡骨远端骨折全部愈合 ,掌倾角 7°～ 15°,平均 10 .2° ,尺偏角 18°～ 2 7°,平均 2 0 .2°。桡骨轴向无短缩 ,按Mehara关于掌侧Barton骨折功能评价[1],优 18例 ,良 6例 ,可 2例 ,优良率达到 92 .3 %。结论 对于桡骨远端Barton骨折 ,采用T形纯钛金属板钉内固定配合术后早期功能锻炼 。
ObjectiveTo evaluate outcome of surgical treatment for Barton' s fracture of the distal radius. MethodsTwenty-six cases of Barton's fractures o f the distal radius treated from June 1999 to March 2002 were involved in the st udy. Open reduction and internal fixation with titanium T plate and screws was d one. 12 cases of dorsal Barton's fractures were fixed with plate and screws fro m the dorsal side, while 16 cases of volar Barton's fractures were fixed from th e volar side. The patients were instructed to perform early postoperative exerci ses. ResultsAll of 26 patients were followed-up for 5 to 18 m onths and evaluat ed. Bone union was seen in all cases. The volar tilting angle was 7°～15°(ave rage 10 2°), and the ulnar inclining angle was 8°～27°(average 20.2°). Ther e was no shortening of the radius. According to Mehara's evaluation for volar Bar ton's fractures, 92.3% of the patients had obtained quite satisfying results. ConclusionOperative treatment with titanium T plate and screw fi xation for Barto n's fractures is advantageous in fracture reduction and early rehabilitation. It is beneficial for earlier functional recovery of the wrist.
出处
《中华手外科杂志》
CSCD
2004年第1期21-23,共3页
Chinese Journal of Hand Surgery
