背侧双板固定治疗桡骨远端粉碎性骨折  

Dorsal double plates for treatment of comminuted distal radius fractures

作　　者：王天兵[1] 陈建海[1] 颜勇卿[1] 傅中国[1] 姜保国[1] 

机构地区：[1]北京大学人民医院创伤骨科,北京100044

出　　处：《中华手外科杂志》2011年第1期4-6,共3页Chinese Journal of Hand Surgery

基　　金：国家十一五科技支撑计划资助项目（2007BA104806）

摘　　要：目的探讨采用背侧入路复位、双板固定治疗桡骨远端粉碎性骨折的手术指征及疗效。方法采用背侧人路行骨折复位、植骨、双板固定治疗C型桡骨远端粉碎性骨折10例，其中男2例，女8例；患者平均年龄72岁。结果术后随访时间6—26个月，平均14个月，按照改良的Garland-Werley评分标准评定：平均为2分（0～12分），其中优5例、良4例、可1例。结论背侧双板固定治疗桡骨远端粉碎性骨折手术操作难度较高，但是背侧复位、植骨、固定更符合局部的解剖学特点和骨折的受伤机制，是治疗桡骨远端粉碎性骨折的有效方法之一。Objective To discuss the indications, methods and treatment outcomes of double plate internal fixation of comminuted distal radius fractures via a dorsal approach. Methods Ten patients of type C comminuted distal radius fractures were treated by dorsal approach reduction, bone graft and double plate internal fixation. Among them, 2 were male and 8 were female. The average age of the patients was 72 years. Results Postoperatively the patients were followed up for 6 to 26 month, with an average of 14 months. The mean Garland and Werley score was 2 （range 0 to 12）. Results were considered excellent in 5 eases, good in 4 eases and fair in 1 ease. Conclusion Dorsal double plate fixation for eomminuted distal radius fracture is technically challenging. However dorsal reduction, bone grafting and fixation is more in line with the anatomy of distal radius and the injury mechanism. It is one of the most effective methods for treating this type of complex fractures.

关 键 词：桡骨骨折 骨折固定术 内 骨折愈合 

分 类 号：R687.3[医药卫生—骨科学]