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桡骨远端粉碎性骨折的钢针与石膏固定治疗

Pins and plaster treatment of comminuted fractures of the distal end of the radius.

作者信息

Green D P

出版信息

J Bone Joint Surg Am. 1975 Apr;57(3):304-10.

PMID:1123381
Abstract

The technique used in the treatment of seventy-five patients with severely comminuted, often intra-articular fractures near the wrist was as follows- Pins were inserted through the metacarpals and proximal part of the ulna, reduction was done, and the pins were incorporated in a cast from elbow to knuckles. This allowed movement of the fingers and the elbow. The main complications - loss of radial length and pintract infection - are avoided by attention to technical details. Of the patients with adequate follow-up, 86 per cent had good or excellent results.

摘要

用于治疗75例腕部附近严重粉碎性、常累及关节内骨折患者的技术如下:将钢针穿过掌骨和尺骨近端,进行复位,然后将钢针固定在从肘部到指关节的石膏中。这样可使手指和肘部活动。通过注意技术细节可避免主要并发症——桡骨长度丢失和针道感染。在有充分随访的患者中,86%的患者结果为良好或优秀。

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