不同植入物治疗桡骨远端骨折的选择标准  

Criteria for choosing different implants in the treatment of distal radius fractures

作　　者：崔梦梦 胡海 崔海勇[2] 赵龙飞 何晓地 程浩杰 Cui Meng-meng;Hu Hai;Cui Hai-yong;Zhao Long-fei;He Xiao-di;Cheng Hao-jie(School of Medicine,Anhui University of Science and Technology,Huainan 232001,Anhui Province,China;Department of Orthopedics,First Affiliated Hospital of Anhui University of Science and Technology/First People’s Hospital of Huainan,Huainan 232001,Anhui Province,China;Suzhou Institute of Biomedical Engineering and Technology,Chinese Academy of Sciences,Suzhou 215163,Jiangsu Province,China)

机构地区：[1]安徽理工大学医学院,安徽省淮南市232001 [2]安徽理工大学附属第一医院/淮南第一人民医院骨科,安徽省淮南市232001 [3]中国科学院苏州生物医学工程技术研究所,江苏省苏州市215163

出　　处：《中国组织工程研究》2018年第23期3736-3743,共8页Chinese Journal of Tissue Engineering Research

基　　金：安徽省科技计划项目(W2015QJ064);淮南市科技计划项目(2015A2407)~~

摘　　要：背景:由于骨折治疗方法很多且疗效不一,因此需要通过文献的回顾性分析与研究,探索出桡骨远端骨折的最佳植入物治疗方案。目的:就植入物治疗桡骨远端骨折的不同选择进行综述。方法:应用计算机在PubMed数据库检索2000年1月至2018年3月的相关文献,检索词为"Distal radius fracture"or"Colles fracture"or"Smith fracture"or"Barton fracture"and"Operation"。同时应用计算机在CNKI数据库检索1979年1月至2017年12月的相关文献,检索词为"桡骨远端骨折"and"手术"。共70篇文献符合纳入标准。结果与结论:(1)桡骨远端骨折在临床非常多见,治疗目的是通过恢复其关节面的解剖形态进而恢复腕关节的功能;(2)目前尚没有一种能够治疗所有类型的桡骨远端骨折的方法,而且有时单一的手术方法无法彻底治疗复杂的桡骨远端骨折;(3)临床上还没有统一的治疗标准,通过对前文总结,得到一个系统的统一治疗标准;(4)因此,需根据患者骨折具体分型、移位程度、年龄、并发症、功能要求等情况,对每一位患者制定最佳、个体化的方案;(5)对于部分桡骨远端复杂性骨折,采用多种植入物联合治疗往往会取得满意疗效。BACKGROUND： There are various methods for treating fractures and treatment outcomes are different. Thereafter, a review is needed to investigate the optimal implants in the treatment of distal radius fractures. OBJECTIVE： To review the different options of implants in the treatment of distal radius fractures. METHODS： A computer-based retrieval of PubMed（from January 2000 to March 2018） and CNKI（from January 1979 to December 2017） databases was conducted for the related literature. The keywords were＂distal radius fracture, Colles fracture, Smith fracture, Barton Fracture and operation＂ in English and Chinese, respectively. Totally 70 eligible articles were included. RESULTS AND CONCLUSION：（1） Distal radius fractures are commonly seen in clinical practice. The purpose of treatment is to recover the function of the wrist joint by restoring the anatomy of the articular surface.（2） There is no method that can treat all types of distal radius fractures, and sometimes a single surgical procedure cannot completely treat complicated distal radius fractures.（3） There is no uniform treatment standard in clinical practice. By summarizing the foregoing, a unified treatment standard for the system is obtained.（4） Therefore, according to the specific fracture type, degree of displacement, age, complications, and functional requirements of the patient, an optimal and individualized plan is established for each patient.（5） For partial complicated fractures of the distal radius, combined treatment with a variety of implants will often achieve satisfactory results.

关 键 词：桡骨骨折 内固定器 外固定器 综述 桡骨远端骨折 植入物 治疗方案 经皮穿针术 外固定支架 钢板 植骨 腕关节镜 人工腕关节 

分 类 号：R318[医药卫生—生物医学工程]