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Based on this review, it is evident that the anatomic results obtained by the use of pins and plaster for the treatment of comminuted distal radial fractures is insufficient to yield a high percentage of satisfactory functional end results. In addition, the high complication and reoperation rate noted in our series makes us question whether the technique of pins and plaster should remain a treatment option for these difficult fractures. Perhaps a combination of internal fixation with bone grafting combined with external fixation will provide a solution to this fracture, particularly in young, active patients. 相似文献
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外固定支架治疗桡骨远端粉碎性骨折 总被引:2,自引:2,他引:2
2003年3月~2009年10月,我科采用上肢多功能外固定器治疗桡骨远端粉碎性不稳定骨折38例,疗效满意.
1 材料与方法
1.1 病例资料本组38例,男17例,女21例,年龄20~65(37.3±10.2)岁.均为粉碎性骨折,其中Colles骨折10例,Smith骨折8例,Barton骨折20例(见图1A).1例为开放性伴肌腱、血管、神经损伤骨折,余为新鲜闭合骨折.有8例骨折门诊手法复位后石膏托固定,复查X线示骨折再移位而改用外固定器固定手术. 相似文献
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2001年1月~2004年12月,我院对12例桡骨远端粉碎性骨折患者行有限手术结合单臂外固定支架治疗,疗效满意。1材料与方法1.1病例资料本组12例,男4例,女8例,年龄28~72岁。左侧3例,右侧9例。致伤原因:滑跌伤7例,交通伤3例,坠落伤2例。按AO分类:C2型4例,C3型8例。见图1。1.2手术方法12 相似文献
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2006年5月~2010年2月,我院采用掌侧T形钢板结合外固定架治疗桡骨远端粉碎性骨折32例,取得较好效果。1材料与方法 相似文献
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目的探讨涉及关节面的桡骨远端关节内粉碎性骨折的治疗方法。方法自2003年3月-2005年11月对16例桡骨远端关节内粉碎性骨折采用外固定架结合有限内固定,必要时行有限切开复位内固定治疗。结果疗效按Dienst功能评估标准:优11例,良3例,可2例,优良率87.5%。结论涉及关节面的桡骨远端粉碎性骨折在手法复位不良佳时,应积极手术;采用在手法整复基本恢复桡骨远端长度及各种移位的基础上,外固定架结合有限内固定,必要时有限切开直视下撬拨复位内固定。 相似文献
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目的 探讨经皮撬拨复位结合外固定支架治疗粉碎性跟骨骨折的疗效.方法 21例跟骨粉碎性骨折采用经皮撬拨复位联合外固定支架治疗,测量并比较术前术后B(o)hler角,根据美国足踝骨科协会(AOFAS)踝-后足评分系统进行评分.结果 21例均获随访,时间5~42(23.2±2.7)个月.跟骨在侧、轴位上的形态较术前明显恢复:术前B(o)hler角-21~40(11.2±3.7)°,术后拆除外固定后B(o)hler角18~40(32.4±6.8)°,术前术后比较差异有统计学意义(P<0.05).踝-后足功能进行评分为67~95分,优8足,良10足,可2足,差1足,优良率为85.7%.结论 经皮撬拨结合外固定支架固定治疗粉碎性跟骨骨折具有损伤小、并发症少等优点,疗效确切. 相似文献
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外固定架结合微型钢板治疗难复性桡骨远端骨折 总被引:12,自引:7,他引:5
2003年6月~2007年9月,我院应用外固定架结合微型钢板治疗难复性桡骨远端骨折48例,疗效良好。
1材料与方法1.1病例资料本组48例,男15例,女33例,年龄22~73(40.5±10.5)岁。左侧20例,右侧28例。均为新鲜闭合性骨折。 相似文献
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External fixation of unstable fractures of the distal radius yields satisfactory results but has a high complication rate. We studied thirty-five fractures in thirty-four patients to determine whether the results obtained with external fixation warranted it use. At a mean follow-up period of 31 months, the results of treatment were assessed by interviews and clinical and radiographic examination of both wrists. Twelve fractures had an excellent result, twelve had a good result, ten had a fair result, and one had a poor result. Radiographic results were graded excellent in ten fractures, good in thirteen, fair in five, and poor in seven. No correlation was found between the anatomical results and the clinical results or the patients' subjective ratings. Complications that were related directly to the fixation pins occurred in fourteen of the fractures. There were forty-five additional complications. The frequency of complications and the limitations of external fixation demand caution on the part of the surgeon to prevent iatrogenic morbidity, which would limit the benefits of the technique. 相似文献