| 桡骨远端尺侧块骨折的手术治疗 |
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投稿时间：2012-11-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 钱军 |
QIAN-Jun |
浙江衢化医院, 浙江 衢化 324004 |
Department of Orthopaedics of Quhua Hospital, Quhua 324004, Zhejiang, China |
kfx963@163.com |
| 方美园 |
FANG Mei-yuan |
浙江衢化医院, 浙江 衢化 324004 |
Department of Orthopaedics of Quhua Hospital, Quhua 324004, Zhejiang, China |
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| 江开明 |
JIANG Kai-ming |
浙江衢化医院, 浙江 衢化 324004 |
Department of Orthopaedics of Quhua Hospital, Quhua 324004, Zhejiang, China |
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| 期刊信息：《中国骨伤》2014年，第27卷，第3期，第250-254页 |
| DOI：10.3969/j.issn.1003-0034.2014.03.020 |
| 基金项目: |
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中文摘要:
目的：探讨桡骨远端尺侧块骨折的类型和手术方法选择。
方法：自2004年1月至2010年9月手术治疗桡骨远端尺侧块骨折32例，男23例，女9例；年龄28～65岁，平均（34±9）岁。根据Melone-Doi分型：Ⅰ型2例，Ⅱ型24例，Ⅲ型6例。分别采用掌桡侧、掌尺侧、尺背侧入路。其中钢板内固定28例（均闭合性骨折），支架加克氏针内固定4例（其中2例为开放性骨折）.
结果：32例患者均获得随访，时间8～18个月，平均12个月。全部患者骨折愈合，无并发症。依据改良Gartland-Werley评分系统进行功能评估，术后总分（1.12±0.45）分，其中残留畸形0分，患者主观评价（0.50±0.30）分，客观评价（0.30±0.21）分，并发症（0.40±0.09）分；疗效评价
结果：优21例，良11例。
结论：桡骨远端尺侧骨折块是影响腕关节预后的重要因素之一，手术固定是治疗尺侧块骨折的有效方法。 |
| 【关键词】桡骨骨折 骨折固定术，内 外科手术 |
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| Surgical treatment of ulnar lateral mass fractures of distal radius |
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ABSTRACT
Objective: To investigate the type and corresponding operation methods of ulnar lateral mass in distal radial fractures.
Methods: From January 2004 to September 2010,32 cases of distal radial fractures with ulnar lateral mass were treated by surgical incision and relocate ulnar lateral mass,including 23 males and 9 females with an average age of(34±9) years old ranging from 28 to 65 years old. According to the classification of Melone-Doi,2 cases with type I,24 cases of type II,6 cases with type III. The operative appoach involved palm-radial,palm-ulnar,radial-dorsal. Among them,28 patients with closed fractures were fixed with plate,4 cases(including 2 cases of open fractures) were fixed by Kirschner pin and braces.
Results: Thirty-two patients were followed up for 8 to 18 months with an average of 12 months. All fractures were healing without complications. According to modified Gartland-Werley scoring system(GWSS),the total score was 1.12±0.45,the remain deformity was 0,subjective evaluation was 0.50±0.30,objective evaluation was 0.30±0.21,complications was 0.40±0.09;the result was excellent in 21 cases,good in 11 cases.
Conclusion: The location of ulnar lateral mass in distal radial fractures is one of the important prognostic factors in wrist function and surgical treatment is an effective method of fixing ulnar lateral mass in distal radial fractures. |
| KEY WORDS Radius fractures Fracture fixation,internal Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 钱军,方美园,江开明.桡骨远端尺侧块骨折的手术治疗[J].中国骨伤,2014,27(3):250~254 |
| 英文格式: | QIAN-Jun,FANG Mei-yuan,JIANG Kai-ming.Surgical treatment of ulnar lateral mass fractures of distal radius[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(3):250~254 |
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