摘要
目的：讨论Colles骨折合并舟月骨分离的治疗方法。方法：对56例Colles骨折合并舟月骨分离的患者，采用适当延长对抗牵引时间，闭合手法复位，整复后中立位或轻度背伸位固定治疗。结果：经6～24个月的随访患者全部获得骨性愈合，根据腕关节运动功能综合评定，优32例，良18例，可6例，优良率89．28％。结论：舟、月骨分离是腕关节不稳定的主要因素。治疗首先要力争使骨折解剖复位。纠正腕关节的动力性不稳，同时要恢复舟月骨之间的解剖关系。
Objective To study the treatment of Colles fracture associated with separation of navicular and lunar bone. Methods Fifty-six cases of Colles fracture associated with separation of navicular and lunar bone were treated by prelonging the time of counter reaction, closed manipulative reduction and fixation of wrist joint at neutral and slight dorsal extension position. Results After a follow-up of 6～24 months, all these 56 cases obtained bony union. According to evaluation of motor function of wrist joint, excellent results were obtained in 32 cases, good in 18 cases and poor in 6 cases, with an excellent and good rate of 89.28%. Conclusion The separation of navicular and lunar bone is the main cause of instability of wrist joint. The first step of the treatment of this condition is reduction of the fracture to correct the dynamic instability of wrist joint. At the same time, the normal anatomic relationship between navicular and lunar bones must also be recovered.
出处
《实用诊断与治疗杂志》
2006年第6期415-416,共2页
Journal of Practical Diagnosis and Therapy
