跨关节外固定支架治疗老年AO分型C3型桡骨远端骨折术后并发症分析  

Diagnosis and treatment of complications following trans-articular external fixation for elderly patients with distal radius fracture of type C3

作　　者：曹发奇 周武[1] 夏天[1] 刘梦非 刘毅 刘静[1] 刘国辉[1] Cao Faqi;Zhou Wu;Xia Tian;Liu Mengcfei;Liu Yi;Liu Jing;Liu Guohui(Department of Orthopaedics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,武汉430022

出　　处：《中华创伤骨科杂志》2018年第11期960-963,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨跨关节外固定支架治疗老年AO分型C3型桡骨远端骨折术后并发症发生原因及其防治策略。方法回顾性研究华中科技大学同济医学院附属协和医院骨科2011年1月至2016年12月行跨关节外固定支架治疗的226例AO分型C3型桡骨远端骨折术后发生并发症的42例患者资料。男12例，女30例；年龄65～83岁，平均68．4岁。结果42例骨折术后并发症中骨折复位丢失22例（52．4％），经及时调整外固定支架得以改善；关节僵硬14例（33．3％），经理疗后关节僵硬症状好转；创伤性关节炎5例（11．9％），经药物治疗加理疗后关节疼痛症状好转；针道感染1例（2．4％），经使用抗生素及定期换药后感染控制。结论尽管跨关节外固定支架治疗老年AO分型C3型桡骨远端骨折是一种确实有效的治疗方式，但骨折复位丢失是其主要并发症，需要通过及时、有效的处理，避免造成严重不良后果发生。Objective To investigate the causes and treatment strategy for postoperative complications following traMs-articular external fixation in the elder patients with distal radius fracture of type C3. Methods The clinical data were retrospectively studied of the 226 patients with distal radius fracture of type C3 who had been treated by traMs-articular external fixation from January 2011 to December 2016 at Department of Orthopaedics, Union Hospital. Of them, 42 （18.6% ） suffered from postoperative complications. They were 12 men and 30 women, aged from 65 to 83 years （average, 68.4 years）. Results Of the 42 patients, 22 （52.4%） had loss of reduction which was improved by timely adjustment of their external fixators, 14 （33.3%） had joint stiffness which was mitigated by physical therapy, 5 （11.9% ） had traumatic arthritis which was relieved after medication and physical therapy, and one （2.4%） had pin tract infection which was controlled after antibiotic treatment and regular dressing change. Conclusion Although traMs-articular external fixation is an effective treatment for elder patients with distal radius fracture of type C3, it is likely to result in a major complication, loss of reduction, which should be treated timely and effectively to avoid serious consequences.

关 键 词：桡骨 骨折 外固定器 骨折并发症 

分 类 号：R687.3[医药卫生—骨科学]