选择钢板在桡骨远端不稳定性骨折治疗中的作用  

Different plates for unstable fractures of distal radius

作　　者：李永忠 吴煌 闵华 曹华平 

机构地区：[1]宜昌市第二人民医院骨外一科,湖北省宜昌市443000

出　　处：《中国组织工程研究与临床康复》2010年第43期8032-8035,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：目的:探讨不同类型钢板在治疗桡骨远端不稳定性骨折中的疗效及临床价值。方法:以"锁定加压钢板,T型钢板,桡骨远端,骨折,内固定"为中文关键词;以"Locked compression plate,Tplate,Distal radius,fracture,internal fixation"为英文关键词,应用计算机检索(2006-02/2010-03)相关文章。纳入与有关桡骨远端不稳定型骨折内固定治疗的文章;排除重复研究或Meta分析类文章。共纳入28篇文献。结果:桡骨远端不稳定性骨折内固定治疗以T型接骨板、掌侧锁定加压钢板、多轴锁定钢板及π钢板为主,而锁定钢板因能提供较好的生物稳定性,目前临床广泛应用。结论:钢板治疗桡骨远端不稳定性骨折临床疗效满意,对比普通T型接骨板,锁定钢板能提供更好的骨折块稳定性,保护血运,且并发症少,可作为治疗此种骨折的首选方法之一。OBJECTIVE：To explore the effect and clinical value of different types of plates in the treatment of unstable fractures of distal radius.METHODS：With key words ＂locked compression plate,T plate,distal radius,fracture,internal fixation＂ in Chinese and English,articles published between February 2006 and March 2010 were searched by computer.Articles related to internal fixation of unstable fractures of distal radius were included.Repetitive articles or Meta analysis was excluded.A total of 28 articles were selected.RESULTS：The unstable fractures of distal radius are frequently treated using T plate,locked compression plate,axial locked plate and π plate.Locked plate can provide biological stability and has been widely used clinically.CONCLUSION：Plate can obtain favorable effects in the treatment of unstable fractures of distal radius.Compared with common T plate,locked plate can provide better fracture block stability and protect blood supply with fewer complications.

关 键 词：锁定加压钢板 T型钢板 桡骨远端 骨折 内固定 

分 类 号：R318[医药卫生—生物医学工程]