| 髂骨移植治疗陈旧性Ⅳ度Colles骨折并Madelung畸形 |
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Received:May 28, 2002
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| 期刊信息：《中国骨伤》2003年16卷，第2期，第74-75页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨陈旧性Colles骨折伴Madelung畸形的治疗方法及预防。
方法：对21例陈旧性Colles骨折伴Madelung畸形患者,按Lidstrom分类均为Ⅳ度,按Knirk&Tupiter分级均为0级,采用切开复位髂骨植骨术矫正畸形、下尺桡关节脱位及恢复掌倾角。
结果:随访1～4年,21例患者畸形均明显纠正,掌倾角基本恢复正常,腕关节掌屈、背伸、尺偏、桡偏及前臂旋转活动均获不同程度的显著改善(P<0.01),而尺倾角在手术前后及与正常值差异无显著性(P>0.05).
结论：①术中必须纠正桡骨远端短缩及桡侧偏斜畸形、下尺桡关节脱位和恢复掌倾角;②必须高度重视对Colles骨折的早期诊断和正确治疗,这是减少或避免骨折后期发生Madelung畸形的关键。 |
| [关键词]:Colles骨折 畸形 骨移植 |
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| Treatment of the old Colles fracture combined with Madelung deformity with ilia transplantation |
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Abstract:
Objective:To explore the treatment and prevention of the old Colles fracture combined with Madelung deformity
Methods:21 cases of the old Colles fracture combined with Madelung deformity,classied as grade Ⅳ by Lidstrom and grade 0 by Knirk & Tupiter,were treated with open reduction and ilia transplantation for the correction deformity and dislocation of the distal ulnoradial joint.
Results:1 to 4 years follow-up showed that the deformity was corrected well,the palm declination angle of wrist was almost recovered,and wrist function improved (P<0.01).However,there was no statistical difference for the ulna declination angle between pre-and post-operation and between post-operative and normal values (P>0.05).
Conclusion:Madelung deformity,distal radioulnar joint dislocation and the change of palm angles of declination must be rectified during operation.Early diagnosis and correct treatment should be paid attention to,which is a key for decreasing complication in later period of the fracture. |
| KEYWORDS:Colles' fracture Abnormalities Bone transplantation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 邓迎生,许声联,林廷军.髂骨移植治疗陈旧性Ⅳ度Colles骨折并Madelung畸形[J].中国骨伤,2003,16(2):74~75 |
| 英文格式: | DENG Yingsheng,XU Shenglian,LIN Tingjun.Treatment of the old Colles fracture combined with Madelung deformity with ilia transplantation[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(2):74~75 |
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