【摘要】 目的探讨桡骨远端不稳定性骨折的手术治疗及临床疗效。方法2002~2005年共手术治疗桡骨远端不稳定性骨折患者62例,男25例,女37例;年龄48~81岁,平均65.5岁。按AO尺桡骨远端骨折分类,B1型5例、B2型10例、B3型8例、C1型15例、C2型16例、C3型8例。行T型接骨板内固定38例,单纯切开复位外固定架固定10例,切开复位外固定架加简单内固定14例。结果62例患者均获得随访,随访时间4~12个月,平均7.3个月。X线片显示骨折全部愈合,41例关节面平整;掌倾角5°~12°,平均8.2°;尺偏角16°~23°,平均20.2°;桡骨轴向无短缩。根据Aro等功能评价标准,本组结果优29例、良25例、可5例、差3例,优良率达87%。结论对不同类型桡骨远端骨折,分别采用T形钢板、外固定支架等方式治疗,可达到骨折准确复位及早期恢复腕关节功能的目的。更多还原

【Abstract】 Objective To evaluate the effects of surgical operation on unstable distal radius fracture.Methods Sixty-two cases of unstable distal radius fracture were treated by surgical operation from 2002 to 2005.In all the patients,male 25,female 37,age 48-81 years(mean 65.5 years).According to AO classification,B1 type 5 cases,B2 type 10 cases,B3 type 8 cases,C1 type 15 cases,C2 type 16 cases,C3 type 8 cases.Thirty-eight cases by open reduction and internal fixation with titanium T plate and screws,10 cases by open reduction and external fixation,14 cases by open reduction and external fixation combined minimum internal fixation.Results All the 62 patients were followed-up for 4-12 months(mean 7.3 months),bone union was seen in all 62 cases.The volar tilting angle 5°-12°(mean8.2°),the ulnar inclining angle 16°-23°(mean 20.2°).There was no shortening of the radius.According to Aro function evaluating standard,87% of the patients had obtained quite satisfying results.Conclusion Taking different surgical operation methods for the different type of the unstable distal radius fracture can obtain satisfying results.更多还原