| 荣绍远苏敏△ 高正言蒋广达胡民.桡骨远端骨折治疗的选择[J].现代生物医学进展英文版,2011,11(4):764-767. |
| 桡骨远端骨折治疗的选择 |
| Selection of treatment for distal radius fractures |
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| DOI： |
| 中文关键词: 桡骨远端骨折 保守治疗 手术治疗 |
| 英文关键词: distal radius fractures conservative treatment ORIF |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨不同类型的桡骨远端骨折的有效治疗方法。方法：分析106 例桡骨远端骨折，分别采用闭合手法复位，切开复位
或有限切开复位内固定方法，分别对骨折复位比较及功能评分。结果：完整随访106例桡骨远端骨折病例，随访时间3～21个月。
对保守治疗组与手术治疗组进行骨折复位测定及改良Garland 和Werley评分，A，B 型骨折无显著性差异；C 型骨折中，手术组明
显优于保守治疗组。结论：对于C型骨折，建议行切开复位内固定治疗；对于A，B型需根据实际情况选择治疗方式。 |
| 英文摘要: |
| Objective: To investigate the effect of treatment on distal radius fractures. Methods: 106 cases of distal radius fractures
were divided into A, B, C types according to the AO classification. They were treated with close diaplasis conservative treatment or
ORIF. The results were evaluated by diaplasis and function after treatment, and percentage of excellence was compared with conservative
treatment or ORIF. Results: The distal radius fractures of 106 cases were all followed-up for 3-21 months. The excellence rate of diaplasis
and function was not significantly different between A and B type by conservative treatment or ORIF. The excellence rate of diaplasis
and function with ORIF were better than that with conservative treatment in C type. Conclusions: It is suggested that C type fracture the
ORIF was need, conservative treatment or ORIF was need for A and B type fracture by the reality condition of fracture. |
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