不同类型植入物内固定治疗桡骨远端骨折的比较

背景：桡骨远端骨折的治疗方法使桡骨远端解剖达到复位已不是难事。但仍然没有一种方法可以治疗全部类型的桡骨远端骨折。目的：综述不同植入物内固定治疗桡骨远端骨折的研究进展。方法：应用计算机检索2000-01/2011-12 PubMed 数据库相关文章,检索词为“distal radius fracture,implant material,biocompatibility”,并限定文章语言种类为English。同时计算机检索2000-01/2011-12 CNKI数据库相关文章,检索词为“桡骨远端骨折,植入材料,生物相容性”,并限定文章语言种类为中文。最终纳入符合标准的文献25篇。结果与结论：桡骨远端关节内骨折是临床骨科较难处理的骨折,特别是复杂关节内骨折,无论何种处理方法,目的均是为了获得较满意的功能恢复。但是,随着科学技术的发展,仍然没有一种方法可以治疗全部类型的桡骨远端骨折。而且有时一种治疗方法还不能完全解决某些类型的桡骨远端骨折。因此,尽可能选用最合适、对患者创伤最小的治疗方式来治疗此类骨折。而对于某些复杂骨折,可以采用多种治疗方法结合的方式来加以治疗,以达到桡骨远端的解剖复位和维持治疗后骨折的稳定。 

Comparison of internal fixation of various implants in treatment of distal radius fracture

BACKGROUND: It is not a difficult task to reset the distal radius using the distal radius fracture therapy, but there is not a method that can treat all kinds of distal radius fracture. OBJECTIVE: To summarize the research progress of internal fixation of various implants for treatment of distal radius fracture. METHODS: We retrieved PubMed Database for relevant articles published from January 2000 to December 2011. The key words were “distal radius fracture, implant material, biocompatibility”. The language was English. Simultaneously, we retrieved China National Knowledge Infrastructure for relevant articles published from January 2000 to December 2011. The key words were “distal radius fracture, implant material, biocompatibility”, and the language was Chinese. A total of 25 articles were included in accordance with inclusion criteria. RESULTS AND CONCLUSION: Intraarticular fractures of distal radius are hard to manage in the clinic in the department of orthopedics, especially complex intraarticular fracture. No matter which methods, the aim was to obtain a satisfactory functional recovery. Nevertheless, with the development of science and technology, there is not a method that can treat all kinds of distal radius fracture. Moreover, a treatment method cannot completely solve a certain distal radius fracture. Therefore, we should choose an optimal manner with a slight trauma to treat this kind of fracture. For some complex fractures, we should combine various methods to reset the distal radius and maintain the stability of the bone post surgery.