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外固定支架加有限内固定治疗青壮年桡骨远端粉碎性骨折 被引量:9

External fixators combined with limited internal fixation for serious comminuted fractures of distal radius in young adults
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摘要 目的探讨外固定支架加克氏针内固定治疗青壮年桡骨远端粉碎骨折的I临床疗效。方法2000年1月~2005年8月采用外固定支架加有限内固定治疗桡骨远端粉碎性骨折30例,外固定支架在术后6~8周拆除,术后进行腕关节功能锻炼。结果所有患者获得14~24个月(平均16个月)随访。所有患者2个月均达骨性愈合,关节功能评定:优24例,良4例,差2例,优良率为93.3%。结论外固定支架固定加有限克氏针内固定对治疗青壮年桡骨远端粉碎性骨折,固定牢固、可靠,可有效防止骨折的再移位和丢失,但不能过早进行腕关节功能锻炼,必须选择合适的时机拆除外固定支架,便于早期腕关节功能锻炼。 Objective To discuss the clinical effects of external fixators combined with limited internal fixation with Kirschner wires for serious comminuted fractures of distal radius in young adults. Methods From January 2000 to August 2005, 30 consecutive patients with serious comminuted fracture of distal radius were treated with external fixators plus limited internal fixation with K-wires. Exercise of the wrist was done after removal of external fixators in 6-8 weeks postoperatively. The patients were followed up for an average of 16 months (range, 14-24 months). Results All fractures united in 2 months postoperatively. The postoperative functional evaluation of the wrist joint showed that 24 cases were excellent, 4 good and 2 poor. The good to excellent rate was 93.3%. Conclusions The external fixator combined with limited k-wire fixation is a good option for serious comminuted fractures of distal radius in young adults, for it can provide rigid fixation and prevent re-displacement of fractures and loss of reduction. But since it prevents the patients from doing early exercise of the wrist, it is necessary to remove the external fixator at a right time.
出处 《中华创伤骨科杂志》 CAS CSCD 2007年第5期405-407,共3页 Chinese Journal of Orthopaedic Trauma
关键词 桡骨骨折 外固定器 内固定器 Distal fracture External fixator Internal fixator
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