| 背侧入路外固定架联合克氏针治疗背侧移位的桡骨远端双柱Die-punch骨折 |
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投稿时间：2024-03-03
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| 作者 | Author | 单位 | Address | E-Mail |
| 焦福德 |
JIAO Fu-de |
宁波市第六医院创伤骨科, 浙江 宁波 315040 |
Department of Traumatic Othopeadics, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
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| 张经纬 |
ZHANG Jing-wei |
宁波市第六医院创伤骨科, 浙江 宁波 315040 |
Department of Traumatic Othopeadics, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
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| 朱李梅 |
ZHU Li-mei |
宁波市第六医院创伤骨科, 浙江 宁波 315040 |
Department of Traumatic Othopeadics, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
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| 安林 |
AN Lin |
宁波市第六医院创伤骨科, 浙江 宁波 315040 |
Department of Traumatic Othopeadics, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
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| 庄云强 |
ZHUANG Yun-qiang |
宁波市第六医院创伤骨科, 浙江 宁波 315040 |
Department of Traumatic Othopeadics, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
794115833@qq.com |
| 陈剑明 |
CHEN Jian-ming |
宁波市第六医院创伤骨科, 浙江 宁波 315040 |
Department of Traumatic Othopeadics, Ningbo No. 6 Hospital, Ningbo 315040, Zhejiang, China |
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| 期刊信息：《中国骨伤》2025年，第38卷，第1期，第87-91页 |
| DOI：10.12200/j.issn.1003-0034.20231218 |
| 基金项目:浙江省医药卫生科技计划项目(编号:2020KY892) |
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中文摘要:
目的: 探讨背侧入路外固定架联合克氏针治疗背侧移位的桡骨远端双柱Die-punch骨折临床疗效。
方法: 回顾性分析2020年7月至2023年1月应用外固定架联合克氏针治疗的15例桡骨远端双柱Die-punch骨折患者临床资料。男10例，女5例;左侧6例，右侧9例;年龄22~76岁。记录患者术前、末次随访时Cooney腕关节功能评分。记录骨折愈合时间、并发症发生情况。
结果: 15例术后获得12~16个月随访，所有骨折获得骨性愈合，时间8~16周。未出现切口感染、骨折再次移位或肌腱损伤等并发症。所有患者在术后6周去除克氏针及外固定架，并启动腕关节的恢复训练。Cooney腕关节功能评分由术前的5~45分提升至末次随访时的65~100分。末次随访时优10例，良4例，可1例。
结论: 背侧入路外固定架联合克氏针治疗桡骨远端双柱Die-punch骨折的临床疗效满意。 |
| 【关键词】桡骨远端骨折 骨折 外固定架 Die-punch骨折 |
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| Dorsally displaced distal radial double-column Die-punch fractures by dorsal approach external fixator combined with Kirschner wires |
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ABSTRACT
Objective Investigating the clinical efficacy of treating dorsally displaced distal radial double-column Die-punch fractures using a dorsal approach external fixator combined with Kirschner wires.
Methods Retrospectively analyzed the clinical data of 15 patients with distal radial double-column Die-punch fractures treated with an external fixator combined with Kirschner wire between July 2020 and January 2023. There were 10 males and 5 females;6 cases on the left side and 9 on the right;age ranged from 22 to 76 years old. Recorded the preoperative and the final follow-up Cooney wrist function scores for the patients. The fracture healing time,and occurrence of complications were recorded.
Results All 15 patients were followed up ranged from 12 to 16 months post-operation. All fractures achieved bony union,healing time ranging form 8 to 16 weeks. Not a single patient exhibited complications such as surgical site infection,fracture redislocation,or tendon injury. All individuals had their Kirschner wires and external fixation devices removed six weeks post-operatively and commenced rehabilitative therapy for wrist articulation. The Cooney wrist function scores at preoperative and ranged from 5 to 45 scores,at the latest follow-up ranged from 65 to 100 scores. At the final follow-up,the results were assessed as excellent in 10 patients,good in 4 patients,and fair in 1 patient.
Conclusion The clinical efficacy of treating distal radial double-column Die-punch fractures using a dorsal approach external fixator combined with Kirschner wires is satisfactory |
| KEY WORDS Distal radial fracture Fracture fixation,internal External fixator Die-punch fractures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 焦福德,张经纬,朱李梅,安林,庄云强,陈剑明.背侧入路外固定架联合克氏针治疗背侧移位的桡骨远端双柱Die-punch骨折[J].中国骨伤,2025,38(1):87~91 |
| 英文格式: | JIAO Fu-de,ZHANG Jing-wei,ZHU Li-mei,AN Lin,ZHUANG Yun-qiang,CHEN Jian-ming.Dorsally displaced distal radial double-column Die-punch fractures by dorsal approach external fixator combined with Kirschner wires[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(1):87~91 |
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