摘要
目的探讨外固定支架在不稳定性桡骨远端骨折中的疗效。方法 2007年1月～2010年6月,采用手法复位、外固定支架跨关节固定术,必要时辅以克氏针经皮撬拨复位固定,治疗69例不稳定性桡骨远端骨折。按照AO分型,其中A3型占16例,C2型31例,C3型22例。结果所有患者骨折均顺利愈合,平均愈合时间为5.4周。影像学方面,改良的sarmiento系统评估骨折复位优良率85.5%。采用Dienst标准评估腕关节功能,优良率达91.3%。结论闭合复位外固定支架固定术是治疗不稳定性桡骨远端骨折的有效手段之一,尤其适合在广大基层医院推广。
Objective To evaluate the radiologic and functional outcome following external fixation of unstable distal radius fractures.Methods From January 2007 to June 2010,69 patients underwent closed reduction and external fixation augmented by K - wire if necessary.These comminuted distal radius fractures included 16 type A3,31 type C2,and 22 type C3,according to the AO/ASIF classification.Results All fractures healed with average time of 5.4 weeks.According to the sarmiento criteria,the results were excellent and good in 85.5%and fair in 14.5%.For functional assessment,the patients were assessed using the Dienst scale,with the result of excellent and good in 91.3%.Conclusion Closed reduction and external fixation is one of effective methods of treatment for unstable distal radius fractures.
出处
《实用临床医药杂志》
CAS
2011年第7期108-109,111,共3页
Journal of Clinical Medicine in Practice
关键词
桡骨远端
骨折
外固定支架
distal radius fracture
fracture
external fixation
