桡骨远端骨折的手术治疗

目的：探讨手术治疗桡骨远端骨折的疗效。方法：手术治疗桡骨远端骨折67例，采用钢板固定33例，克氏针闭合穿针14例，外固定支架12例，克氏针和外固定支架8例。术后分别采用Stewart改良的Sarmiento评分方法行影像学评估，据Fernandez评分标准进行腕关节功能评分。结果：随访时间8～12个月，平均10个月。采用Stewart改良的Sarmiento影像学评估结果，优31例，良28例，可5例，差3例，优良率88％。根据Fernandez评分标准进行腕关节功能的评分，优28例，良29例，一般7例，差3例。优良率85％。骨折愈合时间2～6个月，平均3个月，无骨折不愈合。结论：对不能保守治疗的桡骨远端骨折，选择合适的手术方法，可获得较好的疗效。

Surgical treatment of distal radius fractures

Objective: To evaluate the effect of surgical treatment on distal radius fractures. Methods: Sixty-seven patients with distal radius fractures were subjected to surgical treatment, including fixation with a plate in 33 patients, with a K-wire in 14 patients, with external fixation in 12 patients and with external fixation combined with a K-wire in 8 patients. The final anatomical results were scored based on Sarmiento′s criteria, and the functional results were valuated based on the criteria of Fernandez. Results: All the cases were followed up for an average of 10 months (8 to 12 months). Based on Sarmiento′s criteria, the results were excellent in 31 cases， good in 28 cases，fair in 5 cases， and poor in 3 cases． The good-excellent rate was 88%. Based on Fernandez criteria， the results were excellent in 28 cases， good in 29 cases， fair in 7 cases， and poor in 3 cases． The good excellent rate was 85%. All the fractures healed in 2 to 6 months (averaging 3 months). Conclusion: A suitable surgical method for the un-expectant treatment patients is effective.