T型钢板在桡骨远端不稳定骨折治疗中的应用

目的 总结桡骨远端不稳定骨折T型钢板内固定治疗的效果,以提高桡骨远端不稳定骨折的治疗效果。方法 本组45例采用T型钢板固定,其中15例因骨缺损较严重同时植骨。结果 平均随访25．36个月。远期疗效优良者41例（1例双侧）,优良率91．11％。结论 桡骨远端不稳定骨折手法复位较困难,并因外固定难以维持复位而常发生再移位。这类骨折应尽早切开复位内固定,术后配合合理有效的功能锻炼,可以获得较好的效果。对远期功能影响最大的因素是桡骨短缩程度和关节解剖复位的满意程度。

Using unstable fractures of the distal end of the radius: open reduction and internal fixation with T - type plate

Objective To treat unstable fractures of the distal end of the radius with open reduction and internal fixation with T type plate. Methods 45 patients were treated with T type plate. Bone graft was used in fifteen patients with severe bone defect. Clinical findings of 45 patients with fractures of the distal end of the radius (one is bilateral fractures) showed farily good results. Results The patients were followed up for an average period of 25.36 months. 41 patients showed excellent or good results with a rate of 91 11% Conclusions It is difficult to reduce unstable fracture of the distal end of the radius in the way of close reduction Re displacement is frequent for external fixation and is not reliable in maintaining reduction These fractures should be treated with early open reduction and internal fixation, and reasonable exercise should be taken after the operation Good results can be predicted The most important factors affecting final outcome include radial shortening and reduction of articular surface