摘要
目的探讨采用闭合复位内固定术和有限切开复位可吸收螺钉内固定治疗桡骨远端Barton骨折的可行性。方法1990年5月-2004年5月,对25例桡骨远端Barton骨折的患者,采用微创手术治疗。其中16例在X线机透视下,采用手法复位克氏针内固定术(闭合复位内固定组)；9例采用有限切开复位可吸收螺钉内固定术(有限切开内固定组)。结果术后23例获得6个月～1．5年随访,2例失访。闭合复位内固定组术后4～6周骨折达到骨性愈合,有限切开内固定组6～8周达到骨性愈合,其中1例出现骨性关节炎。按Deoliveiva腕关节功能评定标准：闭合复位内固定组优11例,良3例,可1例,优良率达93％。有限切开内固定组优4例,良3例,差1例,优良率达87％。结论微创手术治疗桡骨远端Barton骨折,操作简单,创伤小,功能恢复满意。
Objective To investigate the feasibility of close reduction and peroutaneous fixation by Kirsehner wires and limited open reduction and internal fixation by absorbable screws for treatment of Barton＇s fractures. Methods From May 1990 to May 2004, 25 cases of Baton＇s fractures were treated with a minimally invasive approach. 16 cases were treated by close reduction and percutaneous fixation with Kirschner wires under X-ray guidance. The other 9 cases were treated by limited open reduction and internal fixation with 1 to 2 absorbable screws. All but 2 cases were followed for 6 months to 1.5 years. Results Bone union was observed in the close reduction group 4-6 weeks following the surgery. In the limited open reduction group, bone union was seen 6-8 weeks postoperatively. According to Deoliveiva wrist function score, 11 cases of the close reduction group were graded as excellent, 3 cases as good, and 1 cases as fair. The overall satisfactory rate was 93%. In the limited open reduction group, there were 4 cases with excellent results, 3 cases good, and 1 case fair. The satisfactory rate was 87%. Osteoarthrltis occurred in only 1 case. Conclusion Minimally invasive surgery for treatment of Barton＇ s fractures is feasible and effective. This procedure is simple and minimally invasive, and can lead to excellent functional recovery.
出处
《中华手外科杂志》
CSCD
北大核心
2006年第4期208-209,共2页
Chinese Journal of Hand Surgery
关键词
桡骨骨折
外科手术
微创性
骨折固定术
Radius fractures
Surgical procedures, minimally invasive
Fracture fixation, internal
