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桡骨远端C型骨折的手术治疗
引用本文:郭天明,刘克,郑钦洪,李振鹏,庄桂炉. 桡骨远端C型骨折的手术治疗[J]. 汕头大学医学院学报, 2007, 20(2): 100-102
作者姓名:郭天明  刘克  郑钦洪  李振鹏  庄桂炉
作者单位:汕头大学医学院第二附属医院骨科,广东,汕头,515041
摘    要:目的:探讨桡骨远端C型骨折(28例)的手术治疗及临床疗效评价。方法:18例采用掌侧入路切开复位“T”形钢板内固定,10例采用背侧入路切开复位外固定架治疗。结果:本组全部随访,腕关节功能按改良的McBride评定标准评定,优19例,良5例,可4例,优良率85.0%。结论:手术治疗桡骨远端C型骨折能有效恢复桡骨远端的长度及关节面。

关 键 词:桡骨远端骨折  内固定  外固定
文章编号:1007-4716(2007)02-0100-03
修稿时间:2007-01-12

Surgical Treatment of Type C Fracture of Distal Radius
GUO Tian-ming,LIU Ke,ZHENG Qin-hong,LI Zhen-peng,ZHUANG Gui-lu. Surgical Treatment of Type C Fracture of Distal Radius[J]. Journal of Shantou University Medical College, 2007, 20(2): 100-102
Authors:GUO Tian-ming  LIU Ke  ZHENG Qin-hong  LI Zhen-peng  ZHUANG Gui-lu
Affiliation:Department of Orthopaedic Surgery, The Second Affiliated Hospital, Shantou University Medical College, Shantou 51041, China
Abstract:Objective: To explore the surgical treatment of AO type C fracture of the distal radius,and to evaluate the clinical theraputic effect.Methods: Eighteen cases were treated with open reduction internal fixation with T-shaped plate through metacarpus approach and 10 cases were treated with open reduction external fixation through dorsum approach.Results: All the patients were followed up.The function of wrist joint was evaluated according to the modified McBride grading.Nineteen cases were excellent,5 cases were good and 3 cases were fair. The excellent and good rate was up to 85.0%.Conclusion: Surgical treatment can effectively restore the anatomic articular surface structure of distal radius and maintain normal radius length in type C distal radius fracture.
Keywords:distal radius fracture  internal fixation  external fixation
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