摘要
目的:探讨各型桡骨远端骨折的治疗方法。方法:2004年5月~2008年10月治疗95例桡骨远端骨折,根据AO分型为A、B、C3型,分别采用石膏外固定、切开复位斜"T"形钢板或外固定支架固定3种固定方法,分别进行骨折的复位,并进行其功能评价。结果:95例患者术后均获随访,随访时间为4~23个月,平均9个月。根据改良的Shea评定法,石膏外固定组优良率为71.7%;斜"T"形钢板内固定组优良率为91.3%;外固定支架组优良率为88.5%。结论:桡骨远端骨折治疗较为复杂,治疗方案需根据骨折的不同类型,患者年龄及骨质情况、患者经济状况采用不同的治疗方法。
Objective:To explore the various types of distal radius fracture treatment.Methods:From May 2004 to October 2008,95 cases of treatment of distal radius fractures,according to AO classification as A,B,C 3-type,were used to plaster external fixation,open reduction and oblique "T" shaped plate or external fixation fixed three kinds of fixation,respectively fracture reduction and to evaluate its function.Results:95 patients were followed up from 4 to 23 months,an average of 9 months.According to Shea improved assessment method,the fine plaster external fixation group was 71.7%;oblique "T" shaped plate fixation group was 91.3% excellent;external fixation group was 88.5% excellent.Conclusion:The treatment of distal radius fracture is more complicated treatment plan must be in accordance with different types of fracture,patient age and bone conditions,economic conditions in patients with different treatment.
出处
《中国当代医药》
2010年第25期23-25,共3页
China Modern Medicine