期刊文献+

钢板预置关节镜复位技术(PART)治疗桡骨远端骨折 被引量:4

Plate presetting arthroscopic reduction technique for fractures of distal radius
原文传递
导出
摘要 目的研究使用钢板预置关节镜复位技术(PART)治疗桡骨远端骨折,将腕掌侧锁定钢板技术与腕关节镜有效结合,提高C型桡骨远端骨折(AO分型)的治疗效果。方法自2009年2月~2011年7月使用PART技术对13例桡骨远端C型骨折进行手术治疗,行桡骨远端骨折切开复位后予克氏针及预置掌侧锁定钢板临时固定骨折,在腕关节镜下对关节面处骨折行进一步复位,满意后用钢板螺钉将骨折完全固定。结果桡骨远端关节面台阶移位及水平移位均在2 mm内。掌倾角0~15°,平均13.4°,尺偏角17~26°,平均22.3°。桡骨远端高度无短缩。采用Gartland和Werley评分标准对腕关节功能进行评价:优8例,良4例,中1例。结论 PART技术治疗桡骨远端C型骨折,将腕掌侧锁定钢板技术与腕关节镜有效简便结合,提高了关节面骨折复位水平,骨折固定坚强,可早期进行腕关节功能锻炼,临床效果优异。 Objective To study the plate presetting arthroscopic reduction technique (PART) for the distal radius fractures and improve the C type (AO) fracture therapeutic efficacy, with the palm locking plate and arthroscopy. Methods From February 2009 to July 2011, PART techniques were used for 13 C type fracture eases. Arthroscopy was used to check the re- duction of the articular fracture after open reduction with the temporary fixation of the plate and K wire. The final fixation was finished after the check. Results The displacement of the articular fracture was below 2 mm. The angle of inclination was be- tween 0° to 15°, and the average angle was 13.4°. The ulnar deviation angle was from 17°to 26°, and the average angle was 22.3°. There was no crlspation of radius. The wrist function with Garfland and Werley standard was estimated.,8 cases were excellent, 4 cases good and lease normal. Conclusion PART technique can combine the palm plate and arthroscopy efficiently, make strong fixation to allow early exercise, and the therapy result is excellent.
出处 《中国骨与关节损伤杂志》 2012年第9期807-809,共3页 Chinese Journal of Bone and Joint Injury
关键词 桡骨远端骨折 腕关节镜 锁定钢板 Distal radius fracture Wrist arthroscopy Locking plate
  • 相关文献

参考文献10

  • 1Yukio Abe MD ,PhD,Tetsu Tsubone MD,PhD,Yasuhiro Tominaga,MD. Plate presetting arthroscopic reduction technique for the distal radius fractures [J].Teehniques in Hand&Upper Extremity Surgery,2008,12 (3): 136-143. 被引量:1
  • 2蒋协远,王大伟主编..骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:369.
  • 3AAOS.Treatment of distal radius fractures, clinical practice guideline sumrnary[J].J Am Acad Orthop Surg, 2010,18: 180-189. 被引量:1
  • 4姜保国.桡骨远端骨折的治疗[J].中华创伤骨科杂志,2006,8(3):236-239. 被引量:185
  • 5武永刚,方礼明,郑继元,张亚军,黄楠,陈晶,李金宸,陈炜.解剖锁定钢板和普通斜T形钢板治疗老年桡骨远端骨折的疗效分析[J].中国骨与关节损伤杂志,2011,26(11):1038-1039. 被引量:11
  • 6Mehta JA, Bain CI ,Heptinstall RJ. Anatomical reduction of intra-artieular fractures of the distalradius [J]. J Bone Joint Surg (Br), 2000,82 : 79-86. 被引量:1
  • 7Varitimidis SE,Basdekis GK,Dailiana ZH, et al.Treatment of intra-articular fractures of the distal radius:fluoroscopic or arthroscopic reduction[J]. J Bone Joint Surg(Br), 2008, 90: 6. 被引量:1
  • 8欧阳侃,王大平,陆伟,张洪,彭亮权.腕关节镜掌侧入路的临床应用[J].中国临床解剖学杂志,2009,27(6):731-734. 被引量:8
  • 9鲍飞龙,刘涛,高伟,胡义明,亢世杰,李清玉,程坤.三柱理论在治疗桡骨远端复杂骨折中的指导作用[J].中国骨与关节损伤杂志,2011,26(1):32-34. 被引量:33
  • 10Yasunori Hattori, Kazuteru Doi,Emmanuel P, et al.Arthroscopic assisted reduction with volar plating or external fixation for displaced intra-articular fracture of the distal radius in the elderly patients[J]. Hand Surgery, 2007,12(1): 1 - 12. 被引量:1

二级参考文献53

共引文献232

同被引文献47

引证文献4

二级引证文献50

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部