| 纸夹板外固定治疗Barton骨折 |
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投稿时间：2009-05-18
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| 期刊信息：《中国骨伤》2009年，第22卷，第12期，第930-932页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的研究纸夹板体系固定对于Barton骨折不稳定性的控制。
方法：自1998年至2007年，采用手法整复、纸夹板外固定治疗Barton骨折30例，男20例，女10例；年龄20～68岁，平均45.3岁；病程1～15 h,平均4.2 h;均有外伤史。X线片示桡骨远端掌侧缘骨折，骨折块向近、掌侧移位，腕骨随之向掌侧半脱位。采用Anderson评价法评定疗效。
结果：所有患者获随访，时间0.5～2年，平均12.3个月。临床愈合时X线片示对位对线好26例，4例掌侧骨折块略向掌侧移位1～2.5 mm.最终功能：24例腕、前臂活动范围及功能完全恢复正常，6例腕、前臂活动范围稍受限但均无碍日常功能。按Anderson成人前臂骨折治疗效果评价分级标准评定，优24例，良6例。
结论：采用本固定方法固定牢固，可促进血肿吸收，可在原固定基础上随时加固固定，且不会出现组织压疮及坏死，安全有效。 |
| 【关键词】桡骨骨折 外固定器 夹板 骨折愈合 |
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| Treatment of Barton fractures with external fixation with paper splints |
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ABSTRACT
Objective: To study the control of instability of paper splints for the treatment of Barton fractures.
Methods: From 1998 to 2007,30 patients with Barton fractures were treated with manual reduction and external fixation with paper splints. Among the patients,20 patients were male and 10 patients were female,ranging in age from 20 to 68 years,averaged 45.3 years. The course of the disease ranged from 1 to 15 hours,with a mean of 4.2 h. All the patients had a history of trauma. The X-rays showed palm-side distal radius fractures,fractured fragments displacing toward proximal palm and the radius bone sudislocating toward the palm. Anderson assessment method was adopted.
Results: All the patients were followed up ranging from 0.5 to 2 years(12.3 months on average). When clinical healing,the X-ray showed good position in 26 cases,and the fractured fragments on the palm side displaced 1 to 2.5 mm toward palm in 4 cases. Final results: the motion range and function of wrist and forearm recovered completely in 24 patients;the motion range and function of wrist and forearm were limited slightly without hindering daily life in 6 patients. According to Anderson assessment method,24 patients got an excellent result and 6 good.
Conclusion: This fixation method possesed such advantages as improving hematoma absorption,reinforcing fixation on the basis of original fixation at any time without pressure sore and necrosis,safe and effective. |
| KEY WORDS Radius fractures External fixators Splints Fracture healing |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵兴玮,王红杰,张立强.纸夹板外固定治疗Barton骨折[J].中国骨伤,2009,22(12):930~932 |
| 英文格式: | HAO Xing-wei,WANG Hong-jie,ZHANG Li-qiang.Treatment of Barton fractures with external fixation with paper splints[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(12):930~932 |
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