T型接骨板治疗桡骨远端不稳定骨折

目的探讨T型接骨板掌侧入路治疗桡骨远端粉碎骨折的疗效。方法从2003年3月始采用小“T”型钢板内固定治疗桡骨远端粉碎骨折37例。随访时间6～24个月（平均17个月）。结果x线片显示所有骨折均于12周内达临床愈合。根据ADL腕关节功能评定标准进行评估，优：29例；良：4例；可：3例；差：0例。优良率91．6％。腕关节的运动范围：背伸平均75°，掌屈平均70°，旋转0°～100°，尺偏平均40°，桡偏平均30°，均基本正常。并发症：2例有中等程度的创伤性关节炎表现，无感染病例。结论作者认为对于桡骨远端不稳定骨折应采取积极的态度，尽早手术复位固定应早开始功能锻炼这对于桡骨不稳定骨折的治疗和获得较好的远期功能效果十分有意义。

The clinical outcomef of treatment using T-plate ant screws in comminuted unstable fractures of the distal radius

Objective To study the clinical outcomes of treatment using T-plate and screws in comminuted intra-articular fractures of the distal radius. Methods 37 cases ofcomminuted intra-articular distal radial fractures were treated with open reduction and internal fixation from march,2003. All the patients were followed up for 6-24 months(average 17 mow ths). Results Evaluated by X-rays and ADL wrist function assessment,all the patients were clinical healed in 12 weeks. 29 cases were graded as excellent and 4 as good,and 3 fair. The overall satisfaction rate was 91.6%. The mean range of motion of the wrist reached 70° of flexion, 75°of extension,40° of ulnar deviation, 30° of radial deviation, 70° of pronation, and 65～ ofsupination. No severe complications were found. Conclusion Author think that we should take active attritude for comminuted intra-articular fractures of the distal radius. It is especially suitable for patients with osteoporosis in that it can firmly hold the reduced fracture segments and hence facilitate early postoperative rehabilitation.