外固定支架治疗桡骨远端骨折  

Application of external fixation in distal radius fractures

作　　者：陈绍站[1] 许勇[1] 李婧[1] 胡涛[1] 邵泽豹[1] 邓乐章[1] 彭文飞[1] 

机构地区：[1]仙桃市第一人民医院骨科二区,湖北仙桃433000

出　　处：《临床骨科杂志》2015年第3期360-361,共2页Journal of Clinical Orthopaedics

摘　　要：目的总结外固定支架治疗桡骨远端骨折的效果。方法采用外固定支架治疗32例桡骨远端骨折患者,其中A3型3例,B1型5例,B2型7例,B3型4例,C1型6例,C2型5例,C3型2例。伤后至手术时间2~5 d。结果患者均获随访,时间3~14个月。骨折均解剖复位。按Gartland-Werley标准进行腕关节功能评定：优24例,良5例,可3例,优良率为90.6%。无钉道感染、神经血管损伤等并发症。3例发生关节僵硬,经积极功能锻炼后症状好转。结论外固定支架治疗桡骨远端骨折能达到解剖复位,手术固定可靠,效果满意。Objective To evaluate the therapeutic effect of treatment of distal radius fractures with external fixation.Methods A total of 32 patients with distal radius fractures were treated by external fixation. According to AO classification,3 fractures were A3,5 of B1,7 of B2,4 of B3,6 of C1,5 of C2,2 of C3. Results All cases were followed up for 3 ~ 14 months. All fractures got anatomical reduction by operation. According to Gartland-Werley scoring system,24 patients were rated as excellent,5 good,3 fair. The rate of excellent and good was 90. 6%. No cases of pin tract infection,neural and vascular injury was found. 3 cases had wrist joint stiffness,all cases were relieved by active function training. Conclusions The application of external fixation has advantages of effective fixation and fewer complications,it is one of the idea choices to treat distal radius fractures.

关 键 词：桡骨远端骨折 外固定器 骨折固定术 

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