| 陈晓华冯世龙△ 张友李楠刘峰.桡骨远端不稳定骨折的治疗策略[J].,2014,14(8):1542-1544 |
| 桡骨远端不稳定骨折的治疗策略 |
| Treatment of Unstable Distal Radius Fracture Strategy |
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| DOI： |
| 中文关键词: 桡骨骨折 不稳定 前后路选择 |
| 英文关键词: Radial fracture Unstable Anterior and posterior fixation choice |
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| 中文摘要: |
| 摘要目的：探讨桡骨远端不稳定骨折的最佳治疗方案，以便能够获取更好的功能康复。方法：2007 年1 月-2011 年12 月共收治
桡骨远端不稳定骨折51 例，其中采用外支架撑开复位外固定5 例，后路复位钢板内固定治疗23 例，前路钢板固定17 例，前后路
联合固定6 例，术后均早期进行关节功能锻炼。结果：51 例均获得随访，X 片提示均已骨性愈合。采用Gartland和Werley评分系
统评估腕关节功能，其中外支架固定，优1 例，良1 例，中2 例，差1 例，优良率40%；后路固定，优12 例，良6 例，中3 例，差2 例，
优良率78.3%；前路固定，优9 例，良6 例，中1 例，差1 例，优良率88.2%；前后路联合，优2 例，良1 例，中2 例，差1 例，优良率
50%。结论：桡骨远端不稳定骨折正确的手术策略能够获得更好的功能恢复，其中前路手术固定效果优于后路固定。 |
| 英文摘要: |
| ABSTRACT Objective:To investigate the optimal treatment project of unstable fractures of distal radius, and obtain better function
rehabilitation.Methods: 51 patients with unstable fracture of distal radius from January 2007 to December 2011were collected, including
5 cases treated with distraction reduction and external fixation by external fixator, 23 cases treated with posterior open reduction and
internal fixation by plate, 17 cases treated with anterior open reduction and internal fixation by plate, and 6 cases with combined anterior
and posterior fixation 6 cases, all the patients with postoperative early joint functional exercise.Results: All cases were followed up and
acquired bony union by X-ray. The Gartland and Werley rating system were adopted to assess wrist function [1]. In the group of external
fixation, excellent in 1 case, good in 1 case, fair in 2 cases, and poor in 1case, the percentage of excellent and good is 40 %. In the group
of posterior fixation, excellent in 12 cases, good in 6 case, fair in 3 cases, and poor in 2 case, the percentage of excellent and good is 78.3 %;
In the group of anterior fixation, excellent in 9 cases, good in 6 cases, fair in 1 case, and poor in 1 case, the percentage of excellent and
good is 88.2 %. In the group of combined anterior and posterior fixation, excellent in 2 cases, good in 1 case, fair in 2 cases, and poor in
1case, the percentage of excellent and good is 50 %.Conclusion: Better function recovery could be obtained by correct Surgical strategy
on unstable fractures of distal radius, and anterior fixation is better than posterior fixation. |
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