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外固定架治疗桡骨远端粉碎性骨折的临床观察
Hits: 2089   Download times: 1373   Received:February 20, 2011    
作者Author单位UnitE-Mail
张华俊 ZHANG Hua-jun 丹阳市人民医院骨科,江苏 丹阳 212300 Department of Orthopaedics, the People's Hospital of Danyang, Danyang 212300, Jiangsu, China aqua419@21cn.com 
王树金 WANG Shu-jin 丹阳市人民医院骨科,江苏 丹阳 212300 Department of Orthopaedics, the People's Hospital of Danyang, Danyang 212300, Jiangsu, China  
周立建 ZHOU Li-jian 丹阳市人民医院骨科,江苏 丹阳 212300 Department of Orthopaedics, the People's Hospital of Danyang, Danyang 212300, Jiangsu, China  
王遥伟 WANG Yao-wei 丹阳市人民医院骨科,江苏 丹阳 212300 Department of Orthopaedics, the People's Hospital of Danyang, Danyang 212300, Jiangsu, China  
期刊信息:《中国骨伤》2011年24卷,第11期,第901-903页
DOI:10.3969/j.issn.1003-0034.2011.11.005


目的:评价外固定支架治疗桡骨远端粉碎性骨折的临床疗效。

方法:自2008年3月至2009年12月,应用外固定支架或辅以克氏针、“T”形交锁加压钢板(T-LCP)治疗桡骨远端粉碎性骨折37例,男14例,女23例;年龄30~79岁,平均59.1岁。根据AO分型:C1 型3例,C2 型11例,C3 型23例。术后定期进行X线和腕关节功能评估。

结果:37例患者均获得随访,时间8~24个月,平均12个月,均临床愈合,平均愈合时间8周。根据Gratland-Werley标准进行功能评价:优16例,良17例,可4 例,优良率89.0%.

结论:外固定支架治疗桡骨远端粉碎性骨折可取得满意的临床疗效。
[关键词]:桡骨骨折  骨折,粉碎性  骨折固定术
 
Analysis of therapeutic effects of external fixator for the treatment of comminuted fracture of distal radius
Abstract:

Objective: To evaluate the clinical effects of external fixator in treating comminuted fracture of distal radius.

Methods: From Mar. 2008 to Dec. 2009, 37 patients with comminuted fracture of distal radius were treated with external fixator or assisted with Kirschner wire and T-shape locking compression plate(T-LCP)fixation. There were 14 males and 23 females, ranging in age from 30 to 79 years, with an average of 59. 1 years. According to AO typing, type C1 was in 3 cases, type C2 was in 11 cases and type C3 was in 23 cases. Function of wrist joint and X-ray films were observed according to Gratland-Werley system at different months.

Results: All patients were followed up from 8 to 24 months with an average of 12 months. All fractures had healing with an average time of 8 weeks. According to Gratland-Werley system, 16 cases obtained excellent result, 17 good, 4 fair, the rate of excellent and good was 89. 0%.

Conclusion: External fixator can obtained satisfactory clinical effect in treating comminuted fracture of distal radius.
KEYWORDS:Radius fractures  Fractures, comminuted  Fracture fixation
 
引用本文,请按以下格式著录参考文献:
中文格式:张华俊,王树金,周立建,王遥伟.外固定架治疗桡骨远端粉碎性骨折的临床观察[J].中国骨伤,2011,24(11):901~903
英文格式:ZHANG Hua-jun,WANG Shu-jin,ZHOU Li-jian,WANG Yao-wei.Analysis of therapeutic effects of external fixator for the treatment of comminuted fracture of distal radius[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(11):901~903
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