桡骨远端骨折的治疗  

TREATMENT OF DISTAL RADIUS FRACTURE

作　　者：顾琪珊[1] 班照楠[1] 谭均[1] 唐安荣[1] 

机构地区：[1]成都市第五人民医院骨科,成都611130

出　　处：《现代预防医学》2009年第5期971-972,共2页Modern Preventive Medicine

摘　　要：[目的]探讨桡骨远端粉碎性骨折的治疗方法及临床疗效的评价。[方法]对2003年1月到2007年1月我科收治的102例桡骨远端进行分析,按AO原则分型,根据不同类型分别采用手法复位石膏或小夹板固定,闭合或小切口复位,克氏针有限内固定,外固定架固定,"T"钢板内固定、单纯外固定架固定。[结果]102例患者全部随访,功能满意94例,可6例,不满意2例。[结论]桡骨远端骨折通过不同的治疗方法,能最大限度地恢复桡骨与尺骨的相对长度,关节面的平整,掌倾角和尺偏角,术后配合理疗,功能康复,能使腕关节功能达到最大程度的恢复。[Objective] To investigate the treatment of distal radial fracture and evaluate the clinical efficacy. [Methods] From January 2003 to January 2007, 102 cases of the distal radius were analyzed. In accordance with AO principles, different types were treated with fixed plaster splint or small splints fixation, closed or small incision reset, pinning limited fixa- tion, external fixation, ‘T’ plate fixation, simple solid external fixator. [Results] All 102 cases were followed up, 94 cases felt satisfied, six felt good, two cases dissatisfied. [Conclusion] The fracture of the distal radius through different treatment methods can be maximatily recovered the relative length of radial and ulnar, the formation of articular surface, palmar angle and ulnar deviation. After operation, physiotherapy and rehabilitation should be carried out to gain the greatest degree of restoration of wrist function.

关 键 词：桡骨 骨折 内固定 外固定 

分 类 号：R683.41[医药卫生—骨科学]