| Henry入路蝶形钢板内固定治疗桡骨远端双柱Die-punch骨折 |
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投稿时间：2022-09-21
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| 作者 | Author | 单位 | Unit | E-Mail |
| 夏海波 |
XIA Hai-bo |
浙江中医药大学, 浙江 杭州 310053
丽水市人民医院创伤骨科, 浙江 丽水 323000 |
Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China
Department of Traumatology, Lishui People's Hospital, Lishui 323000, Zhejiang, China |
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| 兰俊 |
LAN Jun |
丽水市人民医院创伤骨科, 浙江 丽水 323000 |
Department of Traumatology, Lishui People's Hospital, Lishui 323000, Zhejiang, China |
lsgk2022@163.com |
| 蒋李青 |
JIANG Li-qing |
丽水市人民医院创伤骨科, 浙江 丽水 323000 |
Department of Traumatology, Lishui People's Hospital, Lishui 323000, Zhejiang, China |
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| 杨华飞 |
YANG Hua-fei |
丽水市人民医院创伤骨科, 浙江 丽水 323000 |
Department of Traumatology, Lishui People's Hospital, Lishui 323000, Zhejiang, China |
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| 牛晓辉 |
NIU Xiao-hui |
丽水市人民医院创伤骨科, 浙江 丽水 323000 |
Department of Traumatology, Lishui People's Hospital, Lishui 323000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2023年36卷，第4期，第376-380页 |
| DOI：10.12200/j.issn.1003-0034.2023.04.015 |
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目的： 探讨Henry入路蝶形钢板切开复位内固定治疗桡骨远端双柱Die-punch骨折的临床疗效。
方法： 选择2018年1月至2021年6月采用Henry手术入路切开复位内固定治疗的26例桡骨远端双柱Die-punch骨折患者,男14例,女12例;年龄20~75(44.2±3.4)岁。观察术后并发症情况,术后12个月采用Gartland-Werley评分标准进行腕关节功能评价。
结果： 26例患者均获得随访,时间10~18(13.4±0.8)个月。所有骨折均获得骨性愈合,时间8.5~15.8(11.4±0.5)周。所有患者手术切口都Ⅰ期愈合,无伤口感染、血管神经损伤及内固定失效等病例。术后12个月Garthnd-Werley评分(3.65±0.36)分,优16例,良8例,可2例。
结论： 通过掌侧Henry入路,使用蝶形钢板切开复位内固定治疗桡骨远端双柱Die-punch骨折,可获得满意的临床疗效。 |
| [关键词]:Henry入路 蝶形钢板 内固定 桡骨远端双柱骨折 Die-punch骨折 |
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| Double-column Die-punch fractures of distal radius treated with butterfly plate fixation via Henry approach |
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Abstract:
Objective To explore clinical effect of open reduction and internal fixation with Henry's approach butterfly plate in treating double-column Die-punch fractures of distal radius.
Methods From January 2018 to June 2021,26 patients with double-column Die-column distal radius were treated with open reduction and internal fixation through Henry's surgical approach and using distal radius volar column plate(butterfly plate),including 14 males and 12 females,aged from 20 to 75 years old with an average age of (44.2±3.4) years old. Postopertaive complications were observed,Gartland-Werley score at 12 months after opertaion was used to evaluate wrist joint function.
Results All 26 patients were followed up from 10 to 18 months with an average of(13.4±0.8) months. All fractures were obtained fracture union,the time ranged from 8.5 to 15.8 weeks with an average of (11.4±0.5) weeks. All incisions healed at stageⅠwithout infection,nerve injury and internal fixation failure occurred. Postoperative Gartland-Werley score at 12 months was (3.65±0.36),and 16 patients got excellent result,8 good and 2 moderate.
Conclusion Open reduction and internal fixation with butterfly plate for the treatment of double-column Die-punch fractures of the distal radius through volar Henry approach could obtain satisfactory clinical outcomes. |
| KEYWORDS:Henry approach Butterfly plate Internal fixation Double column fracture of distal radius Die-punch 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: | 夏海波,兰俊,蒋李青,杨华飞,牛晓辉.Henry入路蝶形钢板内固定治疗桡骨远端双柱Die-punch骨折[J].中国骨伤,2023,36(4):376~380 |
| 英文格式: | XIA Hai-bo,LAN Jun,JIANG Li-qing,YANG Hua-fei,NIU Xiao-hui.Double-column Die-punch fractures of distal radius treated with butterfly plate fixation via Henry approach[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(4):376~380 |
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