锁定加压钢板在治疗桡骨远端不稳定骨折中的应用

目的:探讨锁定加压钢板(locking compression plate,LCP)治疗不稳定型桡骨远端骨折(distal radialfractures,DRF)的效果。方法:分析自2006年1月～2012年5月我院采用锁定加压钢板治疗桡骨远端不稳定骨折20例患者临床资料,其中男12例,女8例;年龄18～66岁,平均年龄44.6岁。按AO桡尺骨远端骨折分型,B2、3型(部分关节面骨折,掌背侧骨块)6例;Cl型(完全关节内骨折,干骺端骨折)7例;C2型(完全关节内骨折,干骺端粉碎骨折)5例;C3型2例。部分患者初期手法复位固定治疗失败。掌侧入路切开复位,LCP内固定治疗。结果:术后门诊随访2～36个月。桡骨远端骨折均完全愈合,按改良的Mcbirde评分和纽约骨科医院腕关节功能评估标准,优良率为85℅(17/20)。结论:对桡骨远端不稳定性骨折,掌侧LCP是一种安全有效的治疗方法。

Locking Compression Plate Fixation for Intraarticular and Unstable Distal Radial Fractures

Objective:To investigate the locking compression plate(locking compression plate,LCP) the effect of the treatment of unstable distal radial fracture(distal radial fractures,DRF).Methods:Analysis from January 2006 to May 2012 using locking compression plate for treatment of distal radius unstable fracture of the clinical data of 20 patients,including 12 males and 8 females;age 18-66 years,mean age 44.6 years old.Radius and ulna in remote according to the AO fracture classification,B2,3(partial articular fractures,palm dorsal bone) six cases:Cl(complete articular fractures of the metaphyseal fracture) 7 cases;C2,type(full intra-articular fracture,metaphyseal comminuted fracture) 5 cases;C3 type 2 patients.Fixed treatment failure in some patients early manipulative reduction.Volar open reduction and internal fixation in the LCP.Results:Folowed-up from 2 to 36 months,Distal radius fractures are completely healed,the improved Mcbirde score and the New York Orthopaedic Hospital,wrist function evaluation criteria,excellent rate of 85 ℅(17/20).Conclusion:Volar LCP fixation might be a safe and effective treatment for intraarticular unstable distal radial fractures.