动力型外固定架结合克氏针在治疗桡骨远端C型骨折中的作用  

Treatment of type C distal radius fracture with dynamic external fixation combined with K wires internal fixation

作　　者：任鸿[1] 陈翔宇[1] 任小宝[1] 黄崧[1] 郭国宁[1] 

机构地区：[1]第三军医大学西南医院急救创伤中心,重庆400038

出　　处：《局解手术学杂志》2012年第1期45-47,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨动力型外固定架结合克氏针在治疗桡骨远端C型骨折中的作用。方法 2006年1月至2010年7月收治桡骨远端C型骨折86例,其中男52例,女34例,年龄25～78岁,采用闭合性复位动力型外固定架结合克氏针固定。结果 86例病例随访1年以上,X线检查显示:掌倾角8°～20°(平均12°),尺偏角20°～34°(平均26°),桡骨相对高度0～1 cm(平均0.5 cm);采用Jakim标准行腕关节功能评定优良率94.2%,并发症发生率5.8%。结论桡骨远端C型骨折采用闭合复位动力型外固定架结合克氏针固定,能达到骨折端解剖复位,提高了骨折的治愈率,减少了并发症的发生,关节功能得到满意恢复,是一种较好的治疗方式。Objective To evaluate the effects of dynamic external fixation combined with K wires on type C distal radius fracture.Methods Totally 86 patients（52 male patients and 34 female patients aged between 25 and 78 years old） were with type C distal radius fracture from January 2006 to July 2010 were treated with dynamic external fixation combined with K wires internal fixation.Results All patients were followed up for at least one year.The X ray exam showed that the post-operative palm inclination angles were 8°～20°（mean 12°）,the ulnar angles were 20°～34°（mean 26°） and the relative height of radial was 0～1 cm（mean 0.5 cm）.According to the criteria of Jakim,the excellent and good rate was 94.2% and the complication rate was 5.8%.Conclusion The treatment of type C distal radius fracture with dynamic external fixation combined with K wires internal fixation is satisfactory,it can achieve the anatomic reduction,improve curative rate for fractures and reduce complications.

关 键 词：桡骨远端骨折 外固定支架 治疗 

分 类 号：R683.41[医药卫生—骨科学] R687.3[医药卫生—外科学]