| 对掌屈尺偏位固定治疗Colles骨折的再认识 |
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投稿时间：2012-05-25
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| 期刊信息：《中国骨伤》2012年，第25卷，第9期，第779-782页 |
| DOI：10.3969/j.issn.1003-0034.2012.09.018 |
| 基金项目: |
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中文摘要:
目的：探讨腕关节掌屈尺偏位固定治疗Colles骨折的临床疗效.
方法：1998年1月至2008年6月采用腕关节掌屈尺偏位固定治疗Colles骨折120例,男52例,女68例;年龄22～90岁,平均57.6岁;左侧41例,右侧69例,双侧10例.全部为新鲜闭合骨折.根据骨折移位畸形情况：Ⅰ型34例,Ⅱ型36例,Ⅲ型32 例,Ⅳ型18例.
结果：有移位的(Ⅱ-Ⅳ型)86例获得随访,平均随访时间10个月,全部获得临床骨性愈合.根据Dienst腕关节评估标准评定：优59例,良12例,可10例,差5例.
结论：腕关节掌屈尺偏位固定可以维持良好的Colles骨折整复后的固定位置,获得较好的功能恢复. |
| 【关键词】腕关节 骨折固定术,外 Colles骨折 |
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| Understanding the treatment of Colles fracture with wrist joint fixation with plaster in flexion-ulnar position |
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ABSTRACT
Objective: To investigate the clinical effects of wrist joint fixation in flexion-ulnar position for the treatment of Colles fracture.
Methods: From January 1998 to June 2008,120 patients with Colles fracture were treated with wrist joint fixation with plaster in flexion-ulnar position. There were 52 males and 68 females with an average age of 57.6 years(ranged,22 to 90); 41 cases were left,69 cases were right,and 10 cases were hibateral. All of them were fresh closed fractures. According to fracture displacement to typing,type Ⅰof 34 cases,type Ⅱof 36 cases,type Ⅲ of 32 cases,type Ⅳ of 18 cases.
Results: With dislocated (Ⅱ-Ⅳ type) 86 patients were followed up for 10 months in average. 86 cases with displaced fragments achieved clinical bony union. According to standard of Dienst,59 cases got excellent results,12 good,10 fair,and 5 poor.
Conclusion: The wrist fixation with plaster in flexion-ulnar position in treating Colles fracture may maintain good fixation after reduction and obtain better functional recovery. |
| KEY WORDS Wrist joint Fracture fixation,external Colles fracture |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李刚建,任文杰,闵奇.对掌屈尺偏位固定治疗Colles骨折的再认识[J].中国骨伤,2012,25(9):779~782 |
| 英文格式: | LI Gang-jian,REN Wen-jie,MIN Qi.Understanding the treatment of Colles fracture with wrist joint fixation with plaster in flexion-ulnar position[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(9):779~782 |
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