锁定加压钢板内固定术治疗桡骨远端粉碎性骨折临床观察

目的：探讨掌侧入路切开复位锁定加压钢板内固定术治疗桡骨远端粉碎性骨折的临床疗效。方法：采用切开复位锁定加压钢板内固定术治疗18例桡骨远端粉碎性骨折。结果：18例患者（均为单侧）全部获得6～15个月随访,平均8个月,骨折均完全愈合,平均愈合时间3个月。桡骨长度无短缩,随访未发现钢板、螺钉松动、钢板断裂及骨折移位现象。按GartandWerley评分标准进行腕关节功能评估,18例患者功能评定为优,无并发症发生。结论：早期行切开复位锁定加压钢板内固定术是治疗桡骨远端粉碎性骨折较理想的方法。

Clinical Effect of Locking Compression Plate Internal Fixation Therapy in Treating Comminuted Fracture of Distal Radius

Objective：To study the clinical effects of opening reduction from palmaris and locking compression plate internal fixation surgery in treating comminuted fracture of distal radius.Methods：Opening reduction and locking compression plate internal fixation surgery was applied to treat 18 cases of patients with comminuted fracture of distal radius.Results：18 cases of patients（all were unilateral） were all given the follow-up visit of 6 to 15 months with an average 8 months,and their fracture were all healed with an average healing time of 3 months.The length of radius did not become short;no situation of looseness of plate and screw occurred;breakage of plate and shifting of fracture were found in the stage of following-up visit.Assessments of the wrist joint function of 18 cases were all excellent in terms of Gartand Werley evaluation standard,and no complication was found.Conclusion：Applying opening reduction and locking compression plate internal fixation surgery in initial stage is an ideal method to treat comminuted fracture of distal radius.