外固定架结合克氏针治疗桡骨远端不稳定骨折  

作　　者：李中华[1] 李奇志[1] 张涛[1] 赵东[1] 

机构地区：[1]沈阳市第一人民医院骨科,110041

出　　处：《当代医学》2010年第33期79-80,共2页Contemporary Medicine

摘　　要：目的探讨外固定架结合克氏针治疗桡骨远端不稳定骨折的临床疗效。方法选取30例桡骨远端不稳定骨折患者,按AO分型,其中A3型6例,B3型8例,C2型7例,C3型9例。所有患者均采用外固定架结合克氏针内固定治疗。结果术后随访6～18个月,平均13.7个月。术后测量患者的尺偏角为16°～28°(21.8°±2.7°),掌倾角为8°～18°(12.4±1.9)。结合Dienst功能评价标准和沈忆新的解剖评价标准来评价疗效:优18例,良8例,可4例,优良率为86.7%。1例针道感染,2例螺钉松动。结论对于桡骨远端不稳定骨折,采用外固定架结合克氏针内固定治疗,疗效满意。Objective To evaluate the clinical outcomes of external fixation combined with Kirschner wire for treatment of unstable distal radius fractures.Methods 30 cases of unstable distal radius fracture were included.All were classifi ed with AO-scheme.There were 6 cases A3-fracture,8 cases B3-fracture,7 cases C2-fracture,9 cases C3-fracture.All cases were treated by external fixation combined with Kirschner wire.Results All the patients were followed up for 6 to 18 months（mean 13.7 months）.The angle of volar inclination was 8°-18°（12.4±1.9）and the angle of ulnar inclination was 16°-28°（21.8°±2.72°）after operation.According to Dienst functional score standard and Shen yi xin anotomical score standard,the excellent result was in 18 cases,good 8 cases and fair 4 cases.The excellent and good rate were 86.7%.By the time of last follow-up,pin hole infection occurred in 1 case and loosening of external fixation occurred in 2 cases.Conclusion External fixation combined with Kirschner wire is reliable and effective in treatment of unstable fracture of distal radius.

关 键 词：桡骨远端骨折 不稳定性 外固定架 克氏针 

分 类 号：R687.3[医药卫生—骨科学]