外固定架治疗桡骨远端粉碎性骨折的临床观察

目的：评价外固定支架治疗桡骨远端粉碎性骨折的临床疗效。方法：自2008年3月至2009年12月，应用外固定支架或辅以克氏针、“T”形交锁加压钢板（T—LCP）治疗桡骨远端粉碎性骨折37例，男14例，女23例；年龄30-79岁，平均59．1岁。根据AO分型：Cl型3例，C2型11例，C3型23例。术后定期进行X线和腕关节功能评估。结果：37例患者均获得随访，时间8-24个月，平均12个月，均临床愈合，平均愈合时间8周。根据Gratland—Werley标准进行功能评价：优16例，良17例，可4例，优良率89．0％。结论：外固定支架治疗桡骨远端粉碎性骨折可取得满意的临床疗效。

Analysis of therapeutic effects of external fixator for the treatment of comminuted fracture of distal radius

Objective: To evaluate the clinical effects of external fixator in treating comminuted fracture of distal radius. Methods: From Mar. 2008 to Dec. 2009, 37 patients with comminuted fracture of distal radius were treated with external fixator or assisted with Kirschner wire and T-shape locking compression plate(T-LCP)fixation. There were 14 males and 23 females, ranging in age from 30 to 79 years, with an average of 59. 1 years. According to AO typing, type C1 was in 3 cases, type C2 was in 11 cases and type C3 was in 23 cases. Function of wrist joint and X-ray films were observed according to Gratland-Werley system at different months. Results: All patients were followed up from 8 to 24 months with an average of 12 months. All fractures had healing with an average time of 8 weeks. According to Gratland-Werley system, 16 cases obtained excellent result, 17 good, 4 fair, the rate of excellent and good was 89. 0%. Conclusion: External fixator can obtained satisfactory clinical effect in treating comminuted fracture of distal radius.