外固定架联合克氏针撬拨固定治疗高能量致损性桡骨远端粉碎骨折

目的:探讨外固定架联合克氏针撬拨固定治疗高能量致损性桡骨远端粉碎骨折的临床应用效果。方法:对我院2008年4月-2010年8月应用外固定架治疗桡骨远端粉碎性骨折19例临床资料进行回顾性分析。结果:本组19例患者均获得随访,术后随访8～16个月,平均12个月。从腕关节掌倾角、尺偏角、桡骨短缩及关节面塌陷四个指标进行比较,术后与术前比较差异有统计学意义(P<0.01);术后与下外固定及最后随访时比较差异无统计学意义(P>0.05),无复位效果丢失。功能评估:优12例;良6例;可1例。结论:外固定架联合克氏针撬拨固定治疗高能量致损性桡骨远端粉碎性骨折具有创伤小、操作简单,能够满足生物力学及解剖学的要求,有利于骨折愈合,且疗效确切、复位满意,是一种较理想的治疗方法。

External Frisket Combined with Reposition and Fixation by Kirschner Wire for Treating of High-energy-caused Distal Radius Comminuted Fractures

Objective:To detect the clinical effects of external frisket combined with reposition and fixation by kirschner wire for treating of high-energy-caused distal radius comminuted fractures.Methods:Retrospectively analyzed of 19 cases with comminuted distal radius fractures which were treated by external frisket in our hospital from April 2008 to August 2010.Results: All 19 patients were followed up for 8 to 16 months(12months averagely) after surgery.The indexes of palm dip angle,radial inclination angel,radial crispation,and articular facet collapse were significantly different before and after operation.But there was no difference in the two groups after surgery and external frisket removal,and there was no reposition effect loss.Functional assessment: there were 12 excellent cases,6 better cases,and one good case.Conclusion: External frisket combined with reposition and fixation by kirschner wire is effective for treating high-energy-caused distal radius comminuted fractures.It is less invasive and simple operation,and it can not only meet the biomechanical and anatomical requirements,but also help to promote fracture healing.