动力型外固定架结合经皮穿针治疗桡骨远端C型骨折  

Treatment of type C distal radius fracture with dynamic external fixation combined with percutaneous transfixation-pin fixation

作　　者：王宏亮[1] 干阜生[1] 李立[1] 崔西龙[1] 付鹏飞[1] 

机构地区：[1]阜阳市人民医院骨关节创伤病区,安徽阜阳236000

出　　处：《临床骨科杂志》2016年第5期611-613,共3页Journal of Clinical Orthopaedics

摘　　要：目的：探讨动力型外固定架结合经皮穿针治疗桡骨远端C型骨折的效果。方法对15例桡骨远端C型骨折患者采用闭合复位、动力型外固定架结合经皮克氏针固定治疗。结果15例均获得随访，时间11-24个月。末次随访X线检查显示：掌倾角8°-16°（13．2°±4．1°），尺偏角20°-29°（24．7°±5．1°）。腕关节活动度：背伸32°-50°（38．11°±16．01°），掌屈38°-59°（45．62°±12．67°），桡偏12°-17°（14．05°±4．23°），尺偏20°-28°（24．76°±6．34°）。按Dienst标准评价：优10例，良4例，可1例。1例出现针道浅表感染，经治疗后好转。结论动力型外固定架结合经皮穿针内固定治疗桡骨远端C型骨折复位满意，并发症少，关节功能恢复满意。Objective To evaluate the effects of dynamic external fixation combined with percutaneous transfixation-pin fixation on type C distal radius fracture. Methods Total 15 patients were treated with dynamic external fixation combined with percutaneous transfixation-pin fixation. Results All patients were followed up for 11-24 months. At the most recent follow-up, the X-ray exam showed that the palmar tilt angle was 8°-16°（13. 2° ± 4. 1°）,and the ra-dial inclination angle was 20° -29° （24. 7° ± 5. 1°）. The motion of wrist joint was dorsal extension 32° -50° （38. 11° ±16. 01°）, palmar flexion 38° -59°（45. 62° ± 12. 67°）, radial deviation 12° -17°（14. 05° ± 4. 23°）, and ulnar deviation 20°-28°（24. 76° ± 6. 34°）. The curative effect was evaluated by the Dienst system, the func-tional results included 11 cases excellent,4 cases good and 1 case fair. Conclusions The treatment of type C distal radius fracture with dynamic external fixation combined with percutaneous transfixation-pin fixation is satisfactory, it can achieve the anatomic reduction and reduce complications.

关 键 词：桡骨远端骨折 外固定 经皮穿针固定 

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