外固定支架联合骨片钉在桡骨远端严重粉碎性骨折中的应用  

The application of external fixator combined with fragment pin in the treatment of severely comminuted distal radius fractures

作　　者：周翔[1] 蔡卫明[1] 耿昌年[1] 

机构地区：[1]江苏省靖江市人民医院手外科,江苏靖江214500

出　　处：《实用手外科杂志》2013年第4期361-363,共3页Journal of Practical Hand Surgery

摘　　要：目的研究外固定支架联合骨片钉治疗桡骨远端粉碎性骨折的长期疗效。方法对2010年1月-2011年12月，采用外固定支架联合骨片钉治疗的24例桡骨远端粉碎性骨折患者进行随访研究。按照AO／ASIF分型：C1型7例，c2型6例，C3型11例。随访内容：腕关节活动度（屈曲、背伸、尺偏、桡偏），前臂旋前、旋后活动范围，握力、捏力及影像学资料（掌倾角、尺偏角、桡骨高度）。按上肢功能评定标准（Disabilities of the Arm、Shoulderand Hand，DASH）和Gartland—Werley腕关节评分标准进行综合评估。结果术后随访12-24个月，平均为15．8个月。X线片示所有骨折均愈合。按Gartland—Wefley腕关节评定，本组优11例，良9例，可4例，优良率为83．3％。结论外固定支架联合骨片钉治疗桡骨远端粉碎性骨折可以达到满意疗效。Objective To study the long-term results of treatment of severely comminuted distal radius fractures by using external fixator combined with fragment pin. Methods From January 2010 to October 2011, 24 cases with severely comminuted distal radius fractures were treated by external flxator combined with fragment pin, and were follow-up researched. According to AO/ASIF classification, type C1 fractures was in 7 cases, type C2 fractures in 6 cases, type C3 fractures in 11 cases. Evaluations of follow up included wrist rang of motion （flexion, extension, ulnar deviation and radial deviation）,forearm pronation and supination, radiographic criteria （radial inclination, volar tiling and radial height ）. And comprehensive evaluation was applied by DASH （Disabilities of the Arm,Shoulder and Hand）score and Garfland-Werley wrist score. Results Postoperative follow-up ranged from 12 to 24 month with an average of 15.8 months. X-ray data showed that all fractures healed. Accoding to Gartland-Werley wrist evaluation, there were excellent in 11 cases, good in 9 cases, general in 4 cases, and the excellent and good rate was 83.3%. Conclusion External fixator combined with fragment pin in the treatment of severely comminuted distal radius fractures can reach a satisfactory treatment effect.

关 键 词：桡骨骨折 骨折固定术 外固定器 骨片钉 

分 类 号：R683.41[医药卫生—骨科学]