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闭合复位经皮克氏针内固定治疗桡骨远端骨折的临床观察

Clinical research of closed reduction and internal fixation with Kirschner wires treating distal radial fracture

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【作者】 胡方清毛坤祥裴谊波陈世明

【Author】 HU Fang-qing1,MAO Kun-xiang2,PEI Yi-bo1,CHEN Shi-ming1 (1 Orthopaedics of Linli County People’s Hospital,Changde,Hunan 415200; 2 Orthopaedics of Changde First People’s Hospital Changde 415000)

【机构】 临澧县人民医院骨科常德市第一人民医院骨科

【摘要】 目的:探讨闭合复位经皮克氏针内固定治疗桡骨远端骨折的临床疗效。方法:采用闭合复位经皮克氏针内固定治疗桡骨远端骨折患者45例,所有病例均在c型臂x线机透视下,行闭合复位,复位满意后开始行经皮穿针内固定,石膏外固定。结果:术后随访3~36个月,平均16.3个月,腕关节功能按Sarmiento标准评定,本组45例中,优23例,良15例,可5例,差2例。结论:经皮穿针内固定具有操作简单、创伤小的优点,是一种实用的微创手术。

【Abstract】 Objective:To discuss the clinical effect of closed reduction and internal fixation with Kirschner wires in the treatment of distal radial fracture.Methods:45 cases of distal radius fractures were treated by closed reduction and internal fixation with Kirschner wires,plaster external fixation,e whole process were under C-arm X-ray machine.Results:A follow-up for 3~36 months(average 16.3 months),the function of the wrist was evaluated by Sarmiento scale.23 cases were graded as excellent,15 as good,5 as fair and 2 as poor.Conclusion:Closed reduction and internal fixation with Kirschner wires has advantages of minimal trauma,simple and safe fixation,This procedure is an efficient minimally invasive surgery.

  • 【文献出处】 现代生物医学进展 ,Progress in Modern Biomedicine , 编辑部邮箱 ,2009年23期
  • 【分类号】R687.3
  • 【被引频次】10
  • 【下载频次】83
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