外固定架联合克氏针治疗复杂Barton骨折21例

目的:探讨外固定架联合克氏针治疗复杂Barton骨折的临床疗效。方法:对21例复杂Barton骨折者进行闭合复位或有限切开复位,克氏针经皮内固定联合外固定架外固定治疗。患者术后均获随访6~36个月。结果:骨折均于术后3~8周达临床愈合,3~4个月达骨性愈合,根据腕关节功能评分标准(Gartland-Werley评分)评定:优15例,良4例,可2例;优良率为90.47%。平均上肢功能评估问卷评分15分。结论:外固定架联合克氏针为复杂Barton骨折的治疗提供了一种新的选择。

Clinical analysis of the external fixator combined with Kirschner wire in the treatment of complex Barton fracture in 21 cases

Objective:To evaluate the clinical effects of the external fixator combined with Kirschner wire in the treatment of complex Barton fracture. Methods:Twenty-one patients with complex Barton fractures were treated with the close reduction or limited-open reduction,and external fixator combined with Kirschner wire. All patients were followed up for 6 to 36 months. Results:The fractures healed after 3 to 8 weeks of operation,and osseous healing was found during 3 to 4 months. According to Gartland-Werley score,the excellent in 15 cases, good in 4 cases and general in 2 cases were identified, the excellent rate was 90. 47%. The average DASH questionnaire score was 15 points. Conclusions:The external fixator combined with Kirschner wire can provide a new approach in treating complex Barton fractures.