摘要
目的介绍改良小夹板外固定结合持续牵引治疗桡骨远端不稳定骨折的方法。方法2001年～2005年收治21例桡骨远端不稳定型骨折,均为急性损伤,男13例,女8例;平均37.5岁(21～80岁)。AO分类:B2型7例,B3型1例,C1型5例,C2型6例,C3型2例,手术采用手法复位改良小夹板外固定配合持续牵引。结果21例术后X线显示,近似解剖复位14例,功能复位7例,外固定4周后复查X线未见有明显再移位,经3～6个随访均骨性愈合,外观无明显畸形,腕关节活动范围正常。按Lidstrom标准评定,优良19例,一般2例,差0例。结论改良小夹板外固定配合持续牵引治疗桡骨远端不稳定型骨折,具有操作简单,固定牢靠,疗效确切。
[Objective] To introduce a new treatment of precarious radio-fracture in far end with outer fixation in improved small splints and persistent traction. [Methods] 21 eases of abrupt scathe on precarious radio-fracture in far end were treated during 2001~2005, amoug whom were 13 male and 8 female ranging from 21~80 and the average age was 37.5. For AO division： 7 B2,1 B3, 5 C1, 6C2 and 2 C3, diaplasis treatment with improved small splints and persistent traction was introduced. [Results] All the eases through X-ray examination are as follows： 14 approximate dissection diaplasises and 7 function diaplasises. The X-ray examinations after 4 weeks of outer fixation showed no obvious replacement. 3~6 stochastic visits shown good bone concrescence and no obvious abnormality. The wrists function within normal distance. According to the standard of Lidstrom, 19 eases were excellent, 2 ordinary and none poor. [Conclusion] The treatment of precarious radio-fracture in far end with outer fixation in improved small splints and persistent traction operates easily and fixes firmly. The curative effect is quite eorroborant.
出处
《中国医学工程》
2007年第6期512-514,共3页
China Medical Engineering
关键词
桡骨远端不稳定型骨折
改良小夹板
持续牵引
precarious radio-fractue in far end
improved small splints
persistent tration
