摘要
目的：探讨手法复位结合HoffmannⅡ外固定支架固定治疗桡骨远端不稳定性骨折的手术技术和临床疗效。方法：回顾采用HoffmannⅡ外固定支架技术治疗的27例桡骨远端骨折患者（其中5例结合经皮克氏针固定）的临床资料，分析术后影像学指标和腕关节功能，进行疗效评价。结果：所有病例获得平均11．5个月（6～18个月）的随访，按Dienst功能评价标准优14例、良10例、可3例，优良率达88．9％。有5例病人出现影像学测量所见的复位丢失，有1例病人出现针道感染，无一例出现桡神经损伤和腕管综合征表现。结论：手法复位结合HoffmannⅡ外固定支架固定治疗桡骨远端骨折，操作简便，安全有效，是理想的治疗方法。
Objective： To explore the techniques and clinical effects of manipulative reduction and Hoffmann Ⅱ external fixation on unstable distal radius fractures. Methods： From June 2007 to March 2009, 27 cases of unstable distal radius fractures were treated by manipulative reduction and Hoffmann Ⅱ external fixation, with additional K-wires used in five cases. All the cases were followed up and evaluated according to the Dienst functional assessment system. Some radiographic parameters were also determined in this study. Results： All the patients were followed up for 6 to 18 months. 14 cases had excellent function, 10 better and 3 good according to the Dienst functional assessment system, the excellent and better rate being 88.9%. Among them, 5 had minimal loss of reduction, 1 had pin tract infection, and none had radial nerve injury or carpal tunnel syndrome. Conclusion： Combined with manipulative reduction techniques, Hoffmann Ⅱ external fixator is a convenient, safe and useful tool in treating distal radius fractures.
出处
《东南大学学报（医学版）》
CAS
2010年第5期555-558,共4页
Journal of Southeast University(Medical Science Edition)
