摘要
目的总结应用锁定加压钢板（LCP）内固定治疗桡骨远端关节内骨折的效果。方法对自2007年1月-2008年12月收治的36例桡骨远端关节内骨折，根据AO／OTA分型标准，B2型15例，B3型3例，C1型4例，C2型6例，C3型8例，术中均采用切开复位LCP内固定治疗。结果所有患者获得随访，时间8—18个月，平均12．6个月，未发生切口感染，1例出现正中神经损伤，4例出现创伤性关节炎。骨折于术后9—16周达临床愈合，平均11周。按Dienst功能评估标准：优23例，良9例，可2例，差2例，优良率88．89％。结论掌侧LCP治疗桡骨远端关节内骨折可获得满意疗效，但对部分严重C3型骨折，应根据骨折情况，采用掌背侧联合入路固定或有限切开复位结合外固定架固定。
Objective To analyze the clinical effect of locked compression plate fixation of intra-arficular distal radius fractures. Methods From January 2007 to December 2008, 36 cases of intra-articular distal radius fractures were treated. According to AO/OTA standard of classification, there were 15 cases of B2 type, 3 cases of B3 type, 4 eases of C1 type, 6 cases of C2 type, 8 cases of C3 type. All patient received open reduction and locked compression plate fixation. Results All cases were followed up for 8~18 months （mean 12.6 months ）. There was no incision infection in all eases. One patient reported paresthesia in the area supplied by cutaneous branch of the median nerve. Four patients suffered from traumatic arthritis. Fracture union was obtained in all patients after surgical treatment for 9~16 weeks （mean 11 weeks）. Six months after the operation, according to Dienst assessmen4 23 cases were graded as excellent, 9 cases as good, 2 cases as fair and 2 cases as poor. The overall satisfactory rate was 88.89%. Conclusion The volar locked compression plate fixation of intra-articular distal radius fractures of the vast majority can achieve satisfactory efficacy, but for a serious C3 type fracture, based on fracture condition, it is suggested that a joint volar and dorsal approach as a fixed or limited internal fixation combined with external fixator be used.
出处
《中国骨与关节损伤杂志》
2011年第9期793-795,共3页
Chinese Journal of Bone and Joint Injury
关键词
桡骨远端
关节内骨折
锁定加压钢板
内固定
Distal radius
Intraarticular fracture
Locked compression plate
Internal frxation
