摘要
目的探讨桡骨远端不稳定性骨折的手术治疗及临床疗效。方法2002-2005年共手术治疗桡骨远端不稳定性骨折患者62例,男25例,女37例;年龄48-81岁,平均65.5岁。按AO尺桡骨远端骨折分类,B1型5例、B2型10例、B3型8例、C1型15例、C2型16例、C3型8例。行T型接骨板内固定38例,单纯切开复位外固定架固定10例,切开复位外固定架加简单内固定14例。结果62例患者均获得随访,随访时间4-12个月,平均7.3个月。X线片显示骨折全部愈合,41例关节面平整;掌倾角5°-12°,平均8.2°;尺偏角16°-23°,平均20.2°;桡骨轴向无短缩。根据Aro等功能评价标准,本组结果优29例、良25例、可5例、差3例,优良率达87%。结论对不同类型桡骨远端骨折,分别采用T形钢板、外固定支架等方式治疗,可达到骨折准确复位及早期恢复腕关节功能的目的。
Objective To evaluate the effects of surgical operation on unstable distal radius fracture. Methods Sixty-two cases of unstable distal radius fracture were treated by surgical operation from 2002 to 2005. In all the patients, male 25, female 37, age 48-81 years（mean 65.5 years）, According to AO classification, B1 type 5 cases, B2 type 10 cases, B3 type 8 cases, C1 type 15 cases, C2 type 16 cases, C3 type 8 cases. Thirty-eight cases by open reduction and internal fixation with titanium T plate and screws, 10 cases by open reduction and external fixation, 14 cases by open reduction and external fixation combined minimum internal fixation. Results All the 62 patients were followed-up for 4-12 months （mean 7.3 months）, bone union was seen in all 62 cases. The volar tilting angle 5°-12°（mean8.2°） , the ulnar inclining angle 16°-23°（mean 20.2°）. There was no shortening of the radius. According to Aro function evaluating standard, 87% of the patients had obtained quite satisfying results. Conclusion Taking different surgical operation methods for the different type of the unstable distal radius fracture can obtain satisfying results.
出处
《重庆医学》
CAS
CSCD
2007年第11期1021-1022,共2页
Chongqing medicine
关键词
桡骨远端骨折
内固定
外固定
不稳定
distal radius fracture
internal fixation
external fixation
unstable
作者简介
通讯作者
