腕关节韧带功能解剖在桡骨远端骨折复位中的意义

目的探讨腕关节韧带功能解剖在桡骨远端骨折复位中的意义。方法2008年9月至2009年3月我科门诊收治46例桡骨远端骨折患者采用闭合复位小夹板外固定方法治疗,术后即进行手指、肩、肘关节活动,术后4~6周据骨折愈合情况拆除夹板,进行腕关节指导下的功能锻炼。结果本组46例,有38例获得随访,其中有5例粉碎骨折1周复查时移位明显而改为切开复位内固定术,随访6~12个月。所有骨折伤后2.5~3.5个月愈合,平均3个月,参照Aro关于桡骨远端骨折复位后的功能评价标准,优26例,良8例,可4例,优良率89.5%。结论将腕关节韧带的功能解剖与复位手法相结合加夹板外固定进行桡骨远端骨折复位,是一种治疗桡骨远端骨折的理想方法。

Role of carpal ligament for reduction of distal radius fracture

Objective To investigate the role of carpal ligament for reduction of distal radius fracture.Methods Forty-six cases of distal radius fracture were treated with closed bone setting manipulation and splinting and early rehabilitation.The splints were taken after 4～6 weeks.Results Five cases were taken open reduction because of displacement after a week.Thirty eight cases were followed up for 6～12 months and obtained bony union after 2.5～3.5 months.According to the Apro＇s criteria,the results were excellent in 26 cases,good in 8 cases and fair in 4 cases.Conclusion It is an ideal method to treat distal radius fracture with closed bone setting manipulation and splinting according to anatomy of carpal ligament.