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外固定架联合克氏针治疗复杂Barton骨折21例

Clinical analysis of the external fixator combined with Kirschner wire in the treatment of complex Barton fracture in 21 cases
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摘要 目的:探讨外固定架联合克氏针治疗复杂Barton骨折的临床疗效。方法:对21例复杂Barton骨折者进行闭合复位或有限切开复位,克氏针经皮内固定联合外固定架外固定治疗。患者术后均获随访6~36个月。结果:骨折均于术后3~8周达临床愈合,3~4个月达骨性愈合,根据腕关节功能评分标准(Gartland-Werley评分)评定:优15例,良4例,可2例;优良率为90.47%。平均上肢功能评估问卷评分15分。结论:外固定架联合克氏针为复杂Barton骨折的治疗提供了一种新的选择。 Objective: To evaluate the clinical effects of the external fixator combined with Kirschner wire in the treatment of complex Barton fracture. Methods: Twenty-one patients with complex Barton fractures were treated with the close reduction or limited-open reduction,and external fixator combined with Kirschner wire. All patients were followed up for 6 to 36 months. Results: The fractures healed after 3 to 8 weeks of operation,and osseous healing was found during 3 to 4 months. According to Gartland-Werley score,the excellent in 15 cases,good in 4 cases and general in 2 cases were identified,the excellent rate was 90. 47%. The average DASH questionnaire score was 15 points. Conclusions: The external fixator combined with Kirschner wire can provide a new approach in treating complex Barton fractures.
出处 《蚌埠医学院学报》 CAS 2016年第3期308-311,共4页 Journal of Bengbu Medical College
基金 安徽省教育厅高校重点项目(Kj2013A190) 安徽省卫生厅科技项目(2010B025)
关键词 桡骨骨折 BARTON骨折 外固定架 克氏针 radius fracture Barton fracture external fixator Kirschner wire
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