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External fixation and bone grafting for collapsed and comminuted distal radius fracture
引用本文:张双喜,顾方瑞,彭永利,朱广明,付江,卢俊岳,王江涛,刘章民. External fixation and bone grafting for collapsed and comminuted distal radius fracture[J]. 中华创伤杂志(英文版), 2005, 8(3): 156-159,164
作者姓名:张双喜  顾方瑞  彭永利  朱广明  付江  卢俊岳  王江涛  刘章民
作者单位:Department of Orthopaedic Surgery,People's Hospital of Renqiu,Renqiu,Hebei Province 062550,China,Department of Orthopaedic Surgery,People's Hospital of Renqiu,Renqiu,Hebei Province 062550,China,Department of Orthopaedic Surgery,People's Hospital of Renqiu,Renqiu,Hebei Province 062550,China,Department of Orthopaedic Surgery,People's Hospital of Renqiu,Renqiu,Hebei Province 062550,China,Department of Orthopaedic Surgery,People's Hospital of Renqiu,Renqiu,Hebei Province 062550,China,Department of Orthopaedic Surgery,People's Hospital of Renqiu,Renqiu,Hebei Province 062550,China,Department of Orthopaedic Surgery,People's Hospital of Renqiu,Renqiu,Hebei Province 062550,China,Department of Orthopaedic Surgery,People's Hospital of Renqiu,Renqiu,Hebei Province 062550,China
摘    要:Unstableandcomminutedfractureofthedistalpartoftheradiusremainsachallengingproblem.Thisfracturethatcausedbyhighenergyinjuryisveryunstable,andthereductionandfixationareverydifficult.Inrecentyears,manydifferentexternal fixationdeviceshavebeendevelopedandused.1 4They cankeepthepositionafterreductionwithgood functionalresults.Butforseverecollapsedcases,the bonedefectmayleadtoreductionandfixationfailure orprolongthefracturehealingtime.Thesefinally resultinwristswelling,progressivejointstiffnessand …

关 键 词:外固定 骨移植 粉碎性骨折 治疗方法

External fixation and bone grafting for collapsed and comminuted distal radius fracture
ZHANG Shuang-xi,GU Fang-rui,PENG Yong-li,ZHU Guang-ming,FU Jiang,LU Jun-yue,WANG Jiang-tao,LIU Zhang-min. External fixation and bone grafting for collapsed and comminuted distal radius fracture[J]. Chinese journal of traumatology, 2005, 8(3): 156-159,164
Authors:ZHANG Shuang-xi  GU Fang-rui  PENG Yong-li  ZHU Guang-ming  FU Jiang  LU Jun-yue  WANG Jiang-tao  LIU Zhang-min
Affiliation:Department of Orthopaedic Surgery, People's Hospital of Renqiu, Renqiu, Hebei Province 062550, China
Abstract:OBJECTIVE: To study the therapeutic effect of collapsed and comminuted distal radius fracture. METHODS: Twenty-six patients with collapsed and comminuted distal radius fracture were hospitalized from July 1998 to June 2003. All fractures were treated by the methods of open reduction, sustained bone grafting and passing joint external fixator to restore the anatomic shape of distal radius. RESULTS: All 26 cases were followed up, and the results showed that the fractures have been united radiographically. The joint surfaces were intact and there was no length discrepancy occurred in patient's radius. The average volar tilt was 6 to 15 degrees and the average ulnar tilt was 18 to 25 degrees. According to the Dieust criterion, 19 cases were rated as excellent and 7 as good. CONCLUSIONS: The method that applying passing joint external fixator and bone grafting for the treatment of collapsed and comminuted distal radius fracture could maintain the stability of fracture and restore the length of radius and the intact of joint surface.
Keywords:Radius fracture  External fixator  Bone grafting
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