Franck W M, Dahlen C, Amlang M, Friese F, Zwipp H
Abteilung für Unfallchirurgie, Friedrich-Alexander-Universität, Erlangen.
Unfallchirurg. 2000 Oct;103(10):826-33. doi: 10.1007/s001130050628.
A randomised prospective study was carried out to compare non-bridging external fixation using a small A0 external fixator with percutaneous Kirschner wire fixation and plaster in the treatment of distal radial fractures (A2/A3 in the A0 classification). The study involved 40 patients, 20 in each group. The advantages of the non-bridging fixation are: (1) early functional therapy of the wrist, (2) simplified reduction of the fracture, and (3) considerable less restriction of wrist mobility in day-to-day situations. Although the final examination 6 months after treatment showed almost identical functional results, the patients treated with the external fixator benefited from the fact that use of the wrist was virtually free throughout the entire treatment period.
进行了一项随机前瞻性研究，比较使用小型A0外固定器的非桥接外固定与经皮克氏针固定及石膏固定治疗桡骨远端骨折（A0分类中的A2/A3型）的效果。该研究纳入40例患者，每组20例。非桥接固定的优点包括：（1）早期进行腕关节功能治疗；（2）简化骨折复位；（3）在日常情况下对腕关节活动的限制显著减少。尽管治疗6个月后的最终检查显示功能结果几乎相同，但接受外固定器治疗的患者受益于在整个治疗期间几乎可以自由使用腕关节这一事实。
