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有限切开克氏针有限内固定结合外固定支架治疗桡骨远端粉碎骨折
引用本文:胡江,王文跃,冯健,朱海涛,王俭.有限切开克氏针有限内固定结合外固定支架治疗桡骨远端粉碎骨折[J].临床骨科杂志,2011,14(4):428-429.
作者姓名:胡江  王文跃  冯健  朱海涛  王俭
作者单位:海盐县人民医院骨科,浙江,海盐,314300
摘    要:目的探讨有限切开克氏针有限内固定结合外固定支架治疗桡骨远端粉碎骨折的疗效。方法采用有限切开克氏针有限内固定结合外固定支架治疗桡骨远端粉碎骨折19例。结果 19例均获随访,时间5~20个月。骨折均获得愈合。影像学评估采用Stewart改良的Sarmiento评分系统:优10例,良8例,可1例。腕关节功能评估采用Gartland与Werley标准:优12例,良5例,可2例。结论有限切开克氏针有限内固定结合外固定支架治疗桡骨远端粉碎骨折,能有效恢复桡骨远端骨性结构的解剖并维持骨折稳定,创伤较小,利于腕关节功能的恢复,临床疗效满意。

关 键 词:桡骨远端骨折  骨折  粉碎性  有限切开  克氏针有限内固定  外固定器

Treatment of comminuted distal radius fractures with limited internal fixation by Kirschner-wire through limited incision combined with external fixation
HU Jiang,WANG Wen-yue,FENG Jian,ZHU Hai-tao,WANG Jian.Treatment of comminuted distal radius fractures with limited internal fixation by Kirschner-wire through limited incision combined with external fixation[J].Journal of Clinical Orthopaedics,2011,14(4):428-429.
Authors:HU Jiang  WANG Wen-yue  FENG Jian  ZHU Hai-tao  WANG Jian
Institution:(Dept of Orthopaedics,the People′s Hospital of Haiyan County,Haiyan,Zhejiang 314300,China)
Abstract:Objective To study the curative effect of limited internal fixation by Kirschner-wire through limited incision combined with external fixation for comminuted distal radius fractures.Methods 19 patients with comminuted distal radius fractures were treated with limited internal fixation by Kirschner-wire through limited incision combined with external fixation.Results 19 patients were followed up for 5~20 months.Bone union was achieved in all cases.On Sarmiento evaluation criteria:excellent in 10 cases,good i...
Keywords:distal radial fractures  fractures  comminuted  limited incision  limited internal fixation by Kirschner-wire  external fixators  
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