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| 掌侧钢板结合外支架治疗高能量损伤C3型桡骨远端骨折 | |
| 引用本文： | 邓迎生,张秋林,王秋根,纪方,蔡晓冰,唐昊,吴剑宏,汪方,汤旭日,谢杨,官正茂,杨长伟,王谦.掌侧钢板结合外支架治疗高能量损伤C3型桡骨远端骨折[J].中国骨伤,2009,22(7):543-546. |
| 作者姓名： | 邓迎生 张秋林 王秋根 纪方 蔡晓冰 唐昊 吴剑宏 汪方 汤旭日 谢杨 官正茂 杨长伟 王谦 |
| 作者单位： | 1. 海口市第一八七中心医院骨科,海南,海口,671100 2. 长海医院骨科,上海,200433 3. 上海交通大学附属第一人民医院骨科 |
| 摘 要： | 目的:初步研究掌侧支撑钢板结合外支架等固定治疗高能量损伤C3型桡骨远端骨折的疗效.方法:自2001年1月至2007年6月,使用掌侧入路支撑钢板、跨腕关节外支架并结合克氏针撬拨、植骨等技术治疗C3型桡骨远端骨折13例,男9例,女4例;年龄26～47岁,平均37岁.闭合性骨折9例,开放性骨折4例(Gustino Ⅰ型3例,Ⅱ型1例).病程2 h～17 d.比较手术前后掌倾角、尺偏角、桡骨短缩及关节活动范围等,初步评价其临床疗效.结果:随访7～29个月,平均18个月,患者掌倾角、尺偏角、桡骨短缩及关节面均获明显改善.桡骨远端影像学评估采用Stewart改良的Sarmiento评分,优9例,良4例;腕关节功能采用Gartland-Werley标准评定,优5例,良6例,可2例.结论:①掌侧钢板可支撑掌侧皮质,防止骨折碎片向掌侧移位和维持掌倾角,还能为背桡侧外支架提供掌侧支点;②外支架可借助掌侧支点维持桡骨长度和掌倾角,并利于对损伤关节软骨的修复产生"模造";③克氏针、植骨等技术的运用可进一步稳定骨折端. |
| 关 键 词： | 桡骨 关节内骨折 骨折固定术 内 固定装置 外 |
| 收稿时间： | 3/9/2009 12:00:00 AM |
Combination of volar buttress plate with external fixator for the distal radial fractures of type C3 caused by high-energy injuries |
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| DENG Ying-sheng,ZHANG Qiu-lin,WANG Qiu-gen,JI Fang,CAI Xiao-bing,TANG Hao,WU Jian-hong,WANG Fang,TANG Xu-ri,XIE Yang,GUAN Zheng-mao,YANG Chang-wei and WANG Qian.Combination of volar buttress plate with external fixator for the distal radial fractures of type C3 caused by high-energy injuries[J].China Journal of Orthopaedics and Traumatology,2009,22(7):543-546. | |
| Authors: | DENG Ying-sheng ZHANG Qiu-lin WANG Qiu-gen JI Fang CAI Xiao-bing TANG Hao WU Jian-hong WANG Fang TANG Xu-ri XIE Yang GUAN Zheng-mao YANG Chang-wei and WANG Qian |
| Institution: | Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China;Department of Orthopaedics,the 1st Affiliated People's Hospital of Traffic University of Shanghai,Shanghai 200433,China |
| Abstract: | |
| Keywords: | Radius Intraarticular fracture Fracture fixation internal Fixation devices external |
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