掌侧锁定加压接骨板(LCP)治疗桡骨远端不稳定骨折  

Treatment of unstable distal radial fractures with volar locking compression plate (LCP)

作　　者：盛加根[1] 罗从风[1] 曾炳芳[1] 

机构地区：[1]上海交通大学附属第六人民医院骨科,上海市200233

出　　处：《中华创伤骨科杂志》2005年第7期657-659,共3页Chinese Journal of Orthopaedic Trauma

摘　　要：目的报告切开复位锁定加压接骨板(LCP)内固定治疗桡骨远端不稳定骨折的效果及其评价。方法2002年4月～2004年5月,对46例桡骨远端不稳定性骨折采用掌侧入路切开复位LCP内固定进行治疗。其中14例做了植骨,12例术后用掌侧石膏托支持。结果术后所有患者随访6～30个月(平均21个月),所有骨折均愈合。桡骨远端的掌倾角平均9.7°;尺偏角平均21.3°;桡骨短缩≥2mm4例,其余皆<2mm;关节面移位均<1mm。用改良的Gartland和Werley评分系统评估腕关节功能,优32例,良11例,中2例,差1例;优良率为93.5%。结论切开复位掌侧LCP内固定是治疗桡骨远端不稳定性骨折的有效方法,辅以植骨能有效防止关节面塌陷和促进骨折愈合。Objective To report and evaluate the treatment results of unstable distal radial fractures with volar locking compression plate (LCP). Methods 46 cases of unstable fractures of distal radius were treated with open reduction and LCP fixation through volar approach from April 2002 to May 2004. 14 of which underwent bone graft and 12 postoperative immobilization with plaster sprint. Results A follow-up of 6 to 30 (mean 21) months revealed bone union in all cases with a mean volar deviation angle of 9.7°and a mean ulna deviation of 21.3°of the distal radius. The wrist functions were evaluated by the modified Gartland and Werley system only to find 32 excellent cases, 11 good ones, 2 fair ones, and 1 poor one. Conclusions The unstable distal radial fractures can effectively be treated with open reduction and LCP fixation through volar approach. The subsidence of the radial articular surface can well be prevented and bone healing accelerated with supplementary bone graft.

关 键 词：桡骨远端骨折 骨折固定术 内 锁定加压接骨板 

分 类 号：R687.3[医药卫生—骨科学]