腕关节镜辅助下“分水岭”万向锁定加压钢板治疗桡骨极远端骨折

目的探讨腕关节镜辅助"分水岭"万向锁定加压钢板内固定治疗桡骨极远端骨折的临床效果。方法收集2016年1月至2016年11月我院骨科采用关节镜辅助下"分水岭"万向锁定加压钢板内固定治疗的19例桡骨远端"分水岭"以远骨折患者的临床资料。统计患者骨折愈合时间,采取Mayo评分、DASH评分对患侧腕关节进行评估。结果所有患者均获得随访,随访时间6~16个月,平均12.1个月。患者创面均一期愈合,骨折愈合时间9~13周,平均11.2周。末次随访Mayo评分86~95分,平均92.8分,其中优14例,良5例;DASH腕关节功能评分6~12分,平均9.7分。结论腕关节镜辅助下"分水岭"万向锁定加压钢板内固定治疗桡骨极远端骨折能有效复位并支撑关节面,便于早期功能锻炼,腕关节功能恢复良好,值得临床推广。

Clinical effect of treating volar marginal rim fractures with arthroscopy-assisted combined variable angle lcp volar rim distal radius plates

Objective　To investigate the clinical effect of treating volar marginal rim fractures with arthroscopy-assisted combined variable angle lcp volar rim distal radius plates.　Methods　From January 2016 to November 2016, 19 patients who suffered from extreme distal radial fractures were treated in Department of Orthopedics. The assessments included fracture healing time,function of wrist according to DASH scores and Mayo scoresplate.　Results　All of the 19 cases were followed up for 6~16 mouths,with average of 12.1 months．All fractures healed and no loss of reduction occurred in 9~13weeks，with anaverage of 11.2 weeks.The Mayo score was 86 to 95 points(average 92.8 points). the DASH score was from 6 to 11points(average 9.7 points). Conclusions Arthroscopy-assisted combined variable locking compression plate may be an effective way to treat extreme distal radial fractures with compound internal fixation on the basis of morphological feature of fractures and the situation of soft tissue because of easiness of the fixation,early functional training and excellent wrist joint function, it is worth clinical promotion.