桡骨远端骨折研究进展  

Research advancement of the distal radius fracture

作　　者：赵亮[1] 汤译博[1] 苏佳灿[1] 

机构地区：[1]第二军医大学附属长海医院骨科,上海200433

出　　处：《中国骨伤》2010年第8期638-641,共4页China Journal of Orthopaedics and Traumatology

摘　　要：桡骨远端骨折是人类最常见的骨折之一,尤其见于年轻男性和中老年女性。其分类方法很多,最常用的是以人名命名的方法和AO分类方法,以后者最为全面和完善,但一种显示骨折全貌的确切分型方法仍有待提出。近年来,随着腕部生物力学及显微解剖学的发展,对桡骨远端骨折的治疗研究日益增多。治疗的关键在于良好的固定复位。目前常用的非手术治疗方法包括闭合复位外固定,手术治疗方法包括经皮穿针术、外固定支架的使用、切开复位内固定以及骨或骨替代物的移植等。此外,腕关节镜辅助下复位固定、人工腕关节假体等新兴治疗方法也逐渐成为研究热点。但任何一种单独的方法都不能处理全部的桡骨远端骨折,应当根据每个患者的自身骨折特点,选择正确的治疗方法,制定个性化的治疗方案,使治疗效果达到最好。本文从流行病学、分型以及治疗方法三方面,就目前桡骨远端骨折的研究状况作一综述。Distal radius fracture is one of the most common injuries of human beings,particularly in young males and elderly females.There are various classifications among which classification by authors＇ names and the AO fracture classification system are most frequently used.Although the latter one is overall and consummate,a precise classification system with com-plete description of the fracture remains to be raised.Recently,with the development of wrist biomechanics and microscope anatomy,more and more studies were made to treat distal radius fracture.Good reduction and fixation are the key points for treatment.In terms of treatment,several options exist.Nonoperative management consists of closed replacoment and external fixation.Operative treatments includes intrafocal pinning,non bridging and bridging external fixation,various methods of open reduction internal fixation and bone or bone substitute transplantation.Besides,arthroscopic assisted external fixation and arti-ficial joint for wrist become a new hot spot.However,any single therapy could not treat all sorts of distal radius fractures.Therefore,it is better to institute individualized therapy according to different fracture characteristics of each patient in order to achieve the best curative effect.This review aims to make a conclusion about advancement in distal radius fractures,in aspects of epidemiology,classification and treatment.

关 键 词：桡骨骨折 分类法 治疗 综述文献 

分 类 号：R683.41[医药卫生—骨科学]