锁定加压钢板以桡骨远端粉碎性骨折中的临床应用

目的观察锁定加压钢板在桡骨远端粉碎性骨折治疗中的疗效。方法使用锁定加压钢板内固定治疗桡骨远端粉碎性骨折51例，均采用掌侧入路，骨缺损严重者置入人工骨，并对所有患者进行随访，平均14．3个月（4～24个月），观察其疗效和并发症。结果所有骨折全部一期愈合，平均愈合时间7周；按Dienst功能评估标准进行评定：优27例，良22例，可2例，优良率96．1％；所有病例无感染、骨不连、钢板松动、腕管综合征、正中神经炎等并发症。结论锁定加压钢板治疗桡骨远端粉碎性骨折临床疗效良好。

Locking compression plate for comminuted distal radius fracture in the clinical application of

Objective To explore the clinical effects of locking compression plate（LCP） in treatment of comminuted distal radius fracture. Methods Fifty five patients with comminuted distal radius fracture were treated by open reduction and internal fixation with LCP. They were fixated with LCP through the volar approach and artificial bone substitute was implated in ease of large bone defect. All cases were followed up for 4 to 23 months with an average period of 13.5 months. Results The mean healing time of fracture was seven weeks. According to Dienst criteria for joint functions, 29 cases were rated as excellent, 24 as good and 2 as fair, and their good - excellent rate being 96.4%. There was no compfications such as infection, non - union, loosing of nails, carpal tunnel syndrome or medium neuritis occurred in all cases. Conclusion The application of LCP is one of the good options for treatment of patients with comminuted distal radius fracture.