摘要
目的 观察掌背侧联合入路手术治疗桡骨远端AO C3型骨折术后的疗效。方法 对自2011-06—2014-01诊治的12例桡骨远端AO C3型骨折,先行掌侧入路显露复位掌侧移位骨折块,再行背侧入路对移位关节内及背侧骨折块进行显露复位,直视下以掌侧锁定钢板远端锁定螺钉固定掌、背侧骨折块或再辅以克氏针和（或）微型钢板加强固定背侧骨折块,术后测量桡骨远端尺偏角、掌倾角及桡骨高度,采用腕关节功能Gartland与Werley评分对功能进行评估。结果所有患者获得10-18个月,平均13个月的随访,无切口感染及肌腱刺激和断裂情况。末次随访与术后早期桡骨远端尺偏角、掌倾角及桡骨高度差异无统计学意义（P〉0.05）。Gartland与Werley腕关节功能评分：优7例,良4例,可1例。结论掌背侧联合入路手术治疗桡骨远端AO C3型骨折术后疗效满意。
Objective To investigate the surgical effect of combined palm and dorsal approaches operation for AO C3 distal radius fractures. Methods From Jun. 2011 to Jan. 2014, 12 patients with AO C3 distal radius fractures were analyzed retrospectively. Firstly the volar comminuted fractures fragments of distal radius were exposed with palm approach, then treated with reduction and supported by the volar locking plate; next, the displacement of the intra-articular fracture fragments and dorsal comminuted fractures fragments were exposed, treated with reduction and internal fixation with the distal locking screws of volar plate or dorsal Kirschner wires or and dorsal miniplates by dorsal approach. The radiological parameters of distal radial ulnar deviation, radial palmer angle and radial height were measured and the wrist function of Gartland and Werley scale was assessed postoperatively. Results All patients were followed up for 10 to 18 months, with an average of 13 months. There were no wound infection and tendon irritation and breakage. There were no significant differences in distal radial ulnar deviation, height and radial palmer angle at last time and early stage after operation. The wrist function score according to Gartland and Werley scale： excellent in 7 patients, good in 4 and fair in 1. Conclusion For AO C3 of distal radial fractures, satisfactory results are obtained by the combined palm and dorsal approaches for internal fixation.
出处
《中国骨与关节损伤杂志》
2015年第9期948-950,共3页
Chinese Journal of Bone and Joint Injury
关键词
桡骨远端骨折
掌侧入路
背侧入路
Distal radius fracture
Palm approach
Dorsal approach
