期刊文献+

AO/ASIF锁定加压接骨板治疗桡骨远端不稳定骨折 被引量:7

AO/ASIF locking compression plate for unstable distal radial fractures
原文传递
导出
摘要 目的 观察比较切开复位AO/ASIF锁定加压接骨板 (lockingcompressionplate,LCP)内固定术治疗桡骨远端不稳定骨折的临床疗效。 方法 回顾性分析 4 1例桡骨远端不稳定骨折患者 ,2 0例行切开复位LCP内固定术 ,其中A3 2例 ,B12例 ,B2 2例 ,C12例 ,C2 4例 ,C3 8例 ;2 1例行传统的手法复位石膏托外固定 ,其中A2 4例、A3 8例、B13例、B3 1例、C13例、C2 2例。 结果  4 0例获得随访 ,平均随访 7个月 (4~ 12个月 )。两组患者除 1例死亡外均获得临床愈合。Aro评价 :LCP组优 3例 ,良 14例 ,可 1例 ,差 1例 ;传统手法复位组优 2例 ,良 11例 ,可 6例 ,差 2例。术后两组患者在桡骨高度的恢复以及前臂旋转功能的恢复上差异具有显著性意义 (P <0 .0 5 )。 结论 切开复位AO/ASIFLCP内固定术治疗桡骨远端不稳定骨折的临床疗效优于传统手法复位石膏托外固定。 Objective To evaluate the clinical effect of open reduction and internal fixation with locking compression plate (LCP) for unstable distal radial fractures so as to make comparison with traditional minapulis osteosynthesis. Methods A retrospective study was performed in 41 cases with unstable distal radial fractures, of which 20 cases were treated by open reduction with LCP (including two cases of A 3, two B 1, two B 2, two C 1, four C 2 and eight C 3) and 21 by traditional minapulis osteosynthesis and fixated with plaster cast (including four cases of A 2, eight A 3, three B 1, one B 3, three C 1 and two C 2). Results All the cases were followed up for 4-12 months (average seven months). Bone union achieved in all cases except for one death. According to Aro, in the LCP group, three cases were excellent, 14 good, one fair and one poor and in the traditional treatment group, two cases were excellent, 11 good, six fair and two poor. There was statistically significant difference in regard of functional recovery of radial height and forearm rotation (P<0.05). Conclusion Open reduction and internal fixation with LCP is better than traditional minapulis osteosynthesis in treatment of unstable distal radial fractures.
出处 《中华创伤杂志》 CAS CSCD 北大核心 2004年第9期548-550,共3页 Chinese Journal of Trauma
基金 国际内固定学会 (AO/ASIF)基金资助项目
关键词 AO ASIF 加压接骨板 桡骨 不稳定骨折 功能障碍 Fractures, radius Fracture fixation, internal Locking compression plate
  • 相关文献

参考文献7

  • 1Aro HT, Koivunen T. Minor axial shortening of the radius affects outcome of Colles' fracture treatment. J Hand Surg (Am), 1991, 16:392-398.
  • 2Frigg R, Appenzeller A, Christensen R, et al. The development of the distal femur Less Invasive Stabilization System (LISS). Injury, 2001, 32 (Suppl 3):SC24-SC31.
  • 3Orbay JL, Fernandez DL. Volar fixation for dorsally displaced fracture of the distal radius: a preliminary report. J Hand Surg (Am), 2002, 27:205-215.
  • 4Jakob M, Rikli DA, Regazzoni P. Fractures of the distal radius treated by internal fixation and early function. A prospective study of 73 consecutive patients. J Bone Joint Surg (Br), 2000, 82:340-344.
  • 5Ring D, Roberge C, Morgan T, et al. Osteotomy for Malunited fractues of the distal radius: a comparison of structural and nonstructural autogenous bone grafts. J Hand Surg (Am), 2002, 27:216-222.
  • 6姜保国,张殿英,傅忠国,徐海林,李剑.桡骨远端粉碎性骨折及关节内骨折的手术治疗[J].中华骨科杂志,2002,22(2):80-83. 被引量:292
  • 7CanaleST 卢世璧 译.坎贝尔骨科手术学(第9版)[M].济南:山东科学技术出版社,2001.1301-1302.

二级参考文献3

  • 1GellmanH.FracturesoftheDistalRadius.In:AmericanAcademyofOrthopedicSurgeons.1sted[].Illinois.1998
  • 2JupiterJB,MasemM.Reconstructionofpost-traumaticdeformityofthedistalradiusandulna[].HandClin.1988
  • 3OlderTM,StablerEV,CassebaumWH.Collesfracture:evaluationandselectionoftherapy[].The Journal of Trauma.1965

共引文献299

同被引文献55

引证文献7

二级引证文献54

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