2.7mm掌侧双柱锁定加压钢板内固定治疗C型桡骨远端骨折  

Treatment of AO type-C distal radius fractures with 2.7 mm two-column volar diatal radius locking compression plate

作　　者：刘磊[1] 蒋建农[1] 王勇[1] 莫渊[1] 周鸣[1] 司刚[1] 

机构地区：[1]宜兴市人民医院骨科,江苏214200

出　　处：《中国骨与关节损伤杂志》2015年第7期721-723,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的 探讨采用2.7 mm掌侧双柱锁定加压钢板内固定治疗C型桡骨远端骨折的疗效。方法 自2013-01—2014-04采用2.7 mm掌侧双柱锁定加压钢板内固定治疗C型桡骨远端骨折48例。结果 本组42例获得随访6~18个月,平均9个月。腕关节平均掌屈46.8°,背伸58.4°,桡偏20.6°,尺偏30.3°,旋前78.1°,旋后62.0°。7例腕关节至少一个方向主动活动范围不能达到功能要求。根据Gartland and Werley评分,优良率为88.1%。放射学检查：平均掌倾角7.7°,尺偏角23.6°,桡骨高度增加2.7 mm。根据Batra放射学评分法：优良率为90.5%。X线片显示所有骨折均愈合,平均愈合时间3.3个月,无术后感染、内固定松动、正中神经刺激症状发生。结论 采用2.7 mm掌侧双柱锁定加压钢板内固定治疗C型桡骨远端骨折,能获得满意复位、牢靠固定,利于早期功能锻炼,是治疗C型桡骨远端骨折的较好方法。Objective To evaluate the clinical outcomes of 2.7 mm two-column volar diatal radius locking compression plate used for AO type-C distal radius fractures. Methods Form January 2013 to April 2014, 48 patients with AO type-C distal radius fractures were managed by 2.7 mm two-column volar diatal radius locking compression plate. Results Forty-two patients were followed up for an average of 9（range, 6 to 18） months. The mean active range of motion of the wrist was 46.8°of volar flexion, 58.4° of dorsal extension, 20.6° of radial deviation, 30.3° of ulnar deviation, 78.1° of supination and 62.0° of pronation. Seven cases were recorded as motion limitation at least in one direction. Excellent and good rate of Gartland and Werley was 88.1%. The mean volar tilt angle was 7.7°, the mean ulnar deviation angle was 23.6°, and the mean radial height added 2.7 mm. Excellent and good rate of Batra radiological score was 90.5%. Radiographic bone union was achieved in all cases with a mean healing time of 3.3 months without infection, implant loosening, or median nerve irritation. Conclusion It＇s an ideal way to treat the AO type-C distal radius fractures with 2.7 mm two-column volar diatal radius locking compression plate, which can offer satisfactory fracture reduction and rigid fixation , allow early rehabilitation to facilitate functional recovery.

关 键 词：桡骨远端骨折 锁定加压钢板 内固定 

分 类 号：R683.41[医药卫生—骨科学]