有限内固定结合外固定架治疗桡骨远端C型骨折25例临床疗效观察

目的探讨有限内固定结合外固定架治疗桡骨远端C型骨折的临床疗效。方法选择2008年9月至2010年9月收治的桡骨远端C型骨折患者25例，均行有限内固定结合外固定架治疗，并且在出院后对患者进行随访。结果25例患者全部获得随访，随访时间3 ～ 20( 12.6±4.7)个月。所有患者在治疗过程中未出现针道感染、针孔骨折、医源性神经损伤、血管损伤、切口感染、骨髓炎等严重并发症。所有患者骨折全部愈合，愈合时间3 ～9(5.2±1.3)个月。关节功能疗效按Dienst 功能评估标准，优9例，良14例，可2例，优良率为92.0％( 23/25)。按照解剖学上的恢复结果：25例患者中解剖复位5例，功能复位17例，接近功能复位3例。结论有限内固定结合外固定架治疗桡骨远端C型骨折具有操作简单、固定可靠、疗效满意、并发症少等优点，值得临床应用和推广。

Clinical observation of 25 patients with C-type distal radius fractures treated by limited internal fixation combined with external fixator

Objective To investigate the clinical therapeutic effect of limited internal fixation combined with external fixator in treatment of C-type distal radius fractures. Methods From September 2008 to September 2010, 25 patients with C-type distal radius fractures treated by limited internal fixation combined with external fixator. Moreover, these patients were followed up after discharge. Results All patients were followed up for 3-20 ( 12.6 ±4.7) months,and didn't have severe complications, such as pin tract infection,pinhole fracture,introgenic nerve or vascular damage,wound infection, osteomyelitis and so on. All patients were cured, the cured time was 3-9 (5.2 ± 1.3) months. According to Dienst function evaluation standards, 9 were excellent, 14 were good, 2 were general,good rate was 92.0％ (23/25).According to the anatomical recovery outcome:5 anatomic reset, 17 function reset,3 close to the function reset. Conclusion The treatment of C-type distal radius fractures treated by limited internal fixation combined with external fixator has the advantage of easy performance, reliable fixation, satisfactory effect,less complications, and this technique is worthy of being applied and popularized clinically.