期刊文献+

B、C型桡骨远端骨折的治疗 被引量:43

Treatment of B,C-type fracture of the distal radius
下载PDF
导出
摘要 目的 探讨AO分类B、C型桡骨远端骨折的治疗方法。方法 对 93例B、C型桡骨远端骨折采用手法复位石膏固定、闭合性复位经皮克氏针内固定及切开复位钢板螺钉内固定。结果 全部病例均随访 2年以上。优良率 :手法复位石膏固定组为 82 0 5 % ,经皮克氏针内固定组为 81 82 % ,切开复位钢板螺钉内固定组为 80 95 %。结论 手法复位能达到解剖或近似解剖复位并经石膏固定可达到良好固定者应采用非手术治疗 ;B1、B3 、C1型中的Colles骨折应采用闭合性复位经皮克氏针内固定 ;B2 、C1、C2 型中的Simth骨折应采用切开复位钢板螺钉内固定 ;C3 型骨折因干骺端粉碎应采用松质骨移植恢复桡骨的长度 ;伴有严重的骨质疏松的患者避免用内固定治疗。 Objective To discuss the treatment of AO type B and C fractures of the distal radius. Methods 93 displaced B, C type fractures of the distal radius were treated with closed reduction, percutaneous pin fixation and internal fixation with plates and screws, respectively. Results All the cases were followed up for over 2 years. The excellent and good result was found in 32 cases (82 05%) in closed reduction and plaster fixation group; 27 (81 82%) in percutaneous pin fixation group and 17 (80 95%) in internal fixation with plates and screws group. Conclusion Non operative treatment should be used to those who can attain and maintain anatomical reduction; The B 1, B 3 and C 1 types of Colles fractures are amenable to percutaneous pinning; Open reduction and internal fixation with plates and screws is suitable for AO type B 2, C 1 and C 2 fractures; And cancellous bone graft should be performed in severe comminuted fractures to restore the length of radius. Those with severe osteoporosis should avoid internal fixation.
出处 《临床骨科杂志》 2003年第2期141-143,共3页 Journal of Clinical Orthopaedics
关键词 桡骨骨折 骨折固定术 radius fractures fracture fixation, internal
  • 相关文献

参考文献12

  • 1Bradway JK, Amadio PC, Cooney WP. Open reduction and internal fixation of displaced, comminuted intra-articular fractures of the distal end of the radius[J]. J Bone Joint Surg Am, 1989; 71 (6) :839- 847.
  • 2Shea KS, Fernandez DL, Jupiter JB et al. Corrective osteotomy for malunited displaced fractures of the distal end of the radius [ J]. J Bone Joint Surg Am, 1997;79(12) :1816 -1826.
  • 3Sommer C, Brendebach L, Meier R et al. Distal radius fracturesretrospective quality control after conservative and operative therapy[J]. Swiss Surg, 2001 ;7(2) :68 -75.
  • 4Swigart CR, Wolfe SW. Limited incision open techniques for distal radius fracture management[ J]. Orthop Clin North Am, 2001 ;32(2) :317 -327.
  • 5Fitoussi F, Ip WY, Chow SP. Treatment of displaced intra-aticular fractures of the distal end of the radius with plates[ J], J Bone Joint Surg Am, 1997 ;79 ( 9 ) : 1303-1312.
  • 6Kamano M, Honda Y, Kazuki K et al. Palmar plating for dorsally displaced fractures of the distal radius [ J ]. Clin Orthop, 2002;(397) :403- 408.
  • 7Sun JS, Chang CH, Wu CC et al. Extra-articular deformity in distal radial fractures treated by external fixation [ J ]. Can J Surg, 2001 ;44(4) :289 -294.
  • 8Broos PL, Fourneau IA, Stoffelen DV. Fractures of the distal radius, current concepts for treatment[ J]. Acta Orthop Belg, 2001 ;67(3) :211 -218.
  • 9Christensen OM, Christiansen TC, Krasheninnikoff Met al. Plaster cast compared with bridging external fixation for distal radiusfractures of the Colles' type[J]. Int Orthop, 2001 ;24(6) :358 -360.
  • 10Kaempffe FA, Walker KM. External fixation for distal radius fractures: effect of distraction on outcome [J]. Clin Orthop, 2000;(380) :220-225.

同被引文献283

引证文献43

二级引证文献246

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