摘要
目的探讨桡骨远端关节内骨折手术治疗的效果。方法对12例桡骨远端关节内骨折按通用分类法分类,Ⅲ型1例,ⅣA型3例,ⅣB型2例,ⅣC型5例,ⅣD型1例,5例术前行螺旋CT和三维重建检查。手术治疗的方法:外固定支架,外固定支架加克氏针,掌侧或背侧支持钢板,或支持钢板加克氏针,以及以单纯克氏针固定。结果随访8～20个月,平均12个月,优9例,良2例,优良率为91.7%。结论桡骨远端的关节内骨折在闭合复位欠佳时,应该考虑手术治疗,螺旋CT和三维重建技术在术前准备中可提供充分的骨折资料,术式的选择对不同类型的骨折应有所选择。
Objective To review the results of operative treatment of the distal radius fractures. Methods The group of 12 cases were classified accorded to universal classification. There was 1 case of type Ⅲ, 3 cases type ⅣA,2 cases type ⅣB, 5 cases type ⅣC and 1 case type ⅣD. Five of them were checked preoperatively by spiral CT and three dimensional evaluation. They were given respectively treatment by external fixation, by volar or dorsal buttress plate, with or without percutaneous K wires. Results The average period of follow up was 12 months. 9 cases were excellent and 2 cases were good. The excellent and good rate was 91.7%. Conclusions Operative interventions for intra articular fractures of distal aspect of the radius should be considered when non operation management failed. The spiral CT and three dimensional evaluation can reveal enough information about the fracture preoperatively. The proper operative method should be chosen according to the fracture type.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第3期278-280,283,共4页
Chinese Journal of Orthopaedic Trauma
