对掌屈尺偏位固定治疗Colles骨折的再认识

目的:探讨腕关节掌屈尺偏位固定治疗Colles骨折的临床疗效。方法:1998年1月至2008年6月采用腕关节掌屈尺偏位固定治疗Colles骨折120例,男52例,女68例;年龄22～90岁,平均57.6岁;左侧41例,右侧69例,双侧10例。全部为新鲜闭合骨折。根据骨折移位畸形情况:Ⅰ型34例,Ⅱ型36例,Ⅲ型32例,Ⅳ型18例。结果:有移位的(Ⅱ-Ⅳ型)86例获得随访,平均随访时间10个月,全部获得临床骨性愈合。根据Dienst腕关节评估标准评定:优59例,良12例,可10例,差5例。结论:腕关节掌屈尺偏位固定可以维持良好的Colles骨折整复后的固定位置,获得较好的功能恢复。

Understanding the treatment of Colles fracture with wrist joint fixation with plaster in flexion-ulnar position

Objective:To investigate the clinical effects of wrist joint fixation in flexion-ulnar position for the treatment of Colles fracture. Methods:From January 1998 to June 2008,120 patients with Colles fracture were treated with wrist joint fixation with plaster in flexion-ulnar position. There were 52 males and 68 females with an average age of 57.6 years(ranged,22 to 90); 41 cases were left,69 cases were right,and 10 cases were hibateral. All of them were fresh closed fractures. According to fracture displacement to typing,type Ⅰof 34 cases,type Ⅱof 36 cases,type Ⅲ of 32 cases,type Ⅳ of 18 cases. Results:With dislocated (Ⅱ-Ⅳ type) 86 patients were followed up for 10 months in average. 86 cases with displaced fragments achieved clinical bony union. According to standard of Dienst,59 cases got excellent results,12 good,10 fair,and 5 poor. Conclusion:The wrist fixation with plaster in flexion-ulnar position in treating Colles fracture may maintain good fixation after reduction and obtain better functional recovery.