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尺桡骨骨干双骨折内固定术后前臂旋转功能障碍

Hits: 2589 Download times: 1743 Received:June 27, 2003

作者	Author	单位	Unit	E-Mail
何方	HE Fang	解放军73301部队医院骨科, 福建福清350300	Department of Orthopaedics,the 73301 Army Hospital of PLA
李国庆	LI Guo-qing	解放军73301部队医院骨科, 福建福清350300	Department of Orthopaedics,the 73301 Army Hospital of PLA
叶方全	YE Fang-quan	解放军73301部队医院骨科, 福建福清350300	Department of Orthopaedics,the 73301 Army Hospital of PLA

期刊信息：《中国骨伤》2004年17卷，第4期，第207-208页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:分析尺桡骨骨干双骨折内固定术后前臂旋转功能障碍的原因。

方法:通过对我院1985年1月-2002年6月收治的438例内固定术后尺桡骨骨干双骨折临床资料的回顾性分析,探讨其中46例前臂旋转功能障碍的原因。

结果:随访时间4～16个月,平均8个月,旋后功能障碍者23例,旋前功能障碍者8例,合并肘关节屈伸受限者9例,合并腕、掌指及指间关节活动受限6例。

结论:致伤暴力大、损伤范围广、骨折内固定术后肢体外固定的体位不当、制动时间过长以及手术操作技术失误是导致前臂旋转功能障碍的主要原因。

[关键词]:前臂骨折固定术,内功能恢复

Analysis on disfunctions of forearm rotation with internal fixative operation of ulnoradial diaphyses fracture

Abstract:

Objective: To analyse the causes of forearm rotation disfunctions with internal fixative operation in ulnoradial diaphyses fracture.

Methods: The clinical data of 438 patients of ulnoradial diaphyses fracture with internal fixative operation from January 1985 to June 2002 were analyzed retrospectively to explore the causes of 46 cases forearm rotation disfunctions among all patients.

Results: By a followed-up of 4 to 16 months,averaged 8 months,23 cases with turn-backward disfunctions,8 cases with turn-forward disfunctions,9 cases with elbow joint extension and flexion disfunctions,6 cases with wrist joint,metacarpophalangeal joint and interphalangeal joint disfunctions.

Conclusion: The main causes of forearm rotation disfunctions are extensive serious injuries with large range,long-term unsuitable limb posture with external plaster fixation and improper operative skill.

KEYWORDS:Forearm Fracture fixation,internal Recovery of function

引用本文，请按以下格式著录参考文献：

中文格式:	何方,李国庆,叶方全.尺桡骨骨干双骨折内固定术后前臂旋转功能障碍[J].中国骨伤,2004,17(4):207~208
英文格式:	HE Fang,LI Guo-qing,YE Fang-quan.Analysis on disfunctions of forearm rotation with internal fixative operation of ulnoradial diaphyses fracture[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(4):207~208

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