锁定加压接骨板治疗桡骨远端粉碎性骨折21例  

The treatment of comminuted distal radial fractures with internal fixation with locking compression plate:report of 21 cases

作　　者：陶岳峰[1] 胡祖圣[1] 刘立明[1] 曹燕庆[1] 江兵[1] 王栋[1] 

机构地区：[1]安徽省安庆市立医院骨科,246003

出　　处：《蚌埠医学院学报》2010年第11期1119-1120,共2页Journal of Bengbu Medical College

摘　　要：目的：探讨切开复位锁定加压接骨板内固定治疗桡骨远端粉碎性骨折的疗效。方法：对21例手法复位失败的粉碎性桡骨远端骨折行切开复位、锁定加压接骨板内固定,并随访其骨折愈合情况及远期功能效果。结果：21例均获随访,随访时间6~13个月。所有骨折均获骨性愈合,愈合时间49~56天,无切口感染、骨折不愈合、内固定断裂移位等并发症发生。根据Colles骨折的改良Green and O′Brien临床评定标准综合评定,优14例,良7例。结论：对于手法复位失败的桡骨远端粉碎性骨折,切开复位、锁定加压接骨板内固定能获得满意的临床疗效。Objective：To investigate the therapeutic efficiency of open reduction internal fixation with locking compression plate on comminuted distal radial fractures.Methods：Twenty-one cases of comminuted distal radial fractures that failed with closed reduction were treated with open reduction.internal fixation with locking compression plate.The healing of bone and long-term functiona1 result were followed up.Results：All cases were followed up between 6-13 months.All the fractures were united and the the healing time was between 49-56 days.There were no complications such as infection,nonunion,breakage of the implants,or restriction of finger extension.According to the modified Green and O′Brien criteria of fracture,14 cases were excellent and 7 cases were good.Conclusions：To treat the comminuted distal radial fractures that failed with closed reduction,open reduction and internal fixation with locking compression plate can achieve satisfied results.

关 键 词：桡骨骨折 锁定加压接骨板 切开复位 内固定术 

分 类 号：R683.4[医药卫生—骨科学]