T形锁定加压接骨板治疗桡骨远端骨折

目的探讨T形锁定加压接骨板治疗桡骨远端骨折的临床效果。方法对21例按AO分类为B型和C型的桡骨远端骨折患者,应用T形锁定加压接骨板进行内固定治疗。结果19例获得随访,时间4～10（6.5±1.9）个月。骨折全部愈合,愈合时间6～12（7.4±1.3）周。根据改良Mcbride腕关节功能评价标准：优12例,良5例,差2例。结论采用T形锁定加压接骨板治疗桡骨远端骨折具有固定可靠,尤其对不稳定的骨折患者具有良好的治疗效果,并有利于患肢早期的功能锻炼。

T-locking compression plate internal fixation for distal radius fractures

Objective To explore the clinical results of distal radius fractures treated by T-locking compression plate （T-LCP） internal fixation. Methods 21 patients with AO type-B and type-C distal radius fractures received the treatment of T-LCP internal fixation. Results 19 patients finished follow-up with average time 4 - 10 （6. 5 ± 1.9 ） months. All fractures healed successfully from 6 weeks to 12 weeks, average healing time： 6 - 12 （7.4 ± 1.3 ）weeks. By using Mcbride wrist joint function criteria to evaluate the post-operative function, the results were excellent in 12 cases ; good in 5 ; and fair in 2. Conclusions It is reliable to use the method of T-LCP in treating distal radius fractures. The patients are able to perform early exercises during the convalescent periods, and the clinical results are satisfied. Unstable fractures are particularly suitable to this treatment.