期刊文献+

切开复位接骨板内固定治疗掌侧Barton骨折19例临床分析 被引量:2

Clinical Analysis of 19 Cases with Volar Barton’s Fractures Treated with Open Reduction and Internal Fixation
下载PDF
导出
摘要 目的探讨桡骨远端Barton骨折的手术方法及疗效观察.方法19例闭合掌侧Barton骨折,所有病例均为手法复位失败者.均采用掌侧入路,使用普通接骨板12例,国产锁定接骨板7例.结果19例在6—18月后得到随访,骨折全部愈合.X线片示桡骨远端的掌倾角和尺偏角均恢复至正常范围,桡骨远端关节面恢复程度好.综合评分优17例,占73%;良2例,占23%.优良率达100%.出现环指伸肌腱卡压1例,取出此螺钉后症状消失.结论桡骨远端Barton骨折采用掌侧接骨板内固定治疗,可以较好地维持骨折复位,允许术后早期功能锻炼,并可获得满意的腕关节功能恢复. Objective To research the operative methods and the function of open reduction with internal fixation in the treatment of volar Barton's fractures of the distal radius. Methods 19 cases of volar closed Barton's fracture involved in this study. The fractures were fixed with the ordinary plate in 12 cases and locking plate in 7 cases, the volar approach of the distal radius was used. Results 19 cases were followed up 6 - 18 months, all the fractures healed well. The roentgenograms showed that the volar tilt and the ulnar inclination were well maintained. Results of evaluations according to functional criteria were excellent in 17 cases, accounted for 73%, good in 2 cases, acccounted for 23% , the excellent and good rate reached 100%. One patient was associated a locked extensor digitorum tendon by screw. Conclusion Open reduction and internal fixation of volar Barton's fracture can restore articular congruity and result in good to excellent function to the wrist.
出处 《北华大学学报(自然科学版)》 CAS 2008年第2期144-146,共3页 Journal of Beihua University(Natural Science)
关键词 桡骨远端Barton骨折 掌侧入路 接骨板 内固定 Volar Barton fracture Volar approach Plate Internal fixation
  • 相关文献

参考文献8

  • 1[1]Mehara AK,Rastogi S,Bhan S,et al.Classification and Treatment of Volar Barton Fractures[J].Injury,1993,24:55-59.
  • 2[2]Baratz ME,Des Jardins J,Anderson DD,et al.Displaced Intra-articular Fractures of the Distal Radius:the Effect of Fracture Displacement in Contact Stresses in a Cadaver Model[J].J.Hand Surg(Am),1996,21(2):183-188.
  • 3吴乃庆,王青,陶松,年王道新,杨六中.Barton骨折脱位发病机理研究及21例报告[J].中华骨科杂志,1997,17(9):547-550. 被引量:38
  • 4[5]Ruch DS,Papadonikolakis A.Volar Versus Plating in the Management of Intra-articular Distal Radius Fractures[J].Journal Hand Surg,2006,31(1):9-16.
  • 5[6]Zamzuri,Yus M,Hyzan MY.External Fixation Versus Internal Fixation for Closed Unstable Intra-articular Fracture d the Distal Radius.Early Results from a Prospective Study[J].Med Journal Malaysia,2004,59(1):15-19.
  • 6[7]Murakami K,Abe Y,Takahashi.Surgical Treatment of Unstable Distal Radius Fractures with Volar Locking Plates[J].Journal Orthop Sci,2007,12(2):1.34-140.
  • 7刘运良,王建华,尹庆水.AO锁定钢板治疗Barton骨折[J].中国骨与关节损伤杂志,2007,22(7):604-605. 被引量:12
  • 8陈晓东,王宇仁,王栋梁,蒋雷生,沈雷,姚维芳,周青.锁定钢板治疗桡骨远端粉碎性骨折[J].中华手外科杂志,2006,22(1):13-15. 被引量:27

二级参考文献16

  • 1王其友,蔡道章,徐义春,董健文,卢华定.锁定加压接骨板在桡骨远端粉碎性骨折治疗中的应用[J].中华手外科杂志,2004,20(3):162-163. 被引量:22
  • 2Rogachefsky RA,Lipson SR,Applegate B,et al.Treatment of severely comminuted intra-articular fractures of the distal end of the radius by open reduction and combined internal and external fixation.J Bone Joint Surg (Am),2001,83:509-519.
  • 3Campbell DA.Open reduction and internal fixation of intra articular and unstable fractures of the distal radius using the AO distal radius plate.J Hand Surg (Br),2000,25:528-534.
  • 4Harness N,Ring D,Jupiter JB.Volar Barton's fractures with concomitant dorsal fracture in older patients.J Hand Surg(Am),2004,29:439-445.
  • 5Knirk JL,Jupiter JB.Intra-articular fractures of the distal end of the radius in young adults.J Bone Joint Surg(Am),1986,68:647-659.
  • 6Bartosh RA,Saldana MJ.Intra-articular fractures of the distal radius:a cadaveric study to determine if ligamentotaxis restores radiopalmar tilt.J Hand Surg(Am),1990,15:18-21.
  • 7Szabo RM,Weber SC.Comminuted intra-articular fractures of the distal radius.Clin Orthop Relat Res,1988 ,230:39-48.
  • 8沈侠,中华骨科杂志,1994年,14卷,381页
  • 9赵建宁,中华手外科杂志,1993年,9卷,136页
  • 10黄庆森,中华骨科杂志,1984年,4卷,337页

共引文献74

同被引文献17

引证文献2

二级引证文献6

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