Prommersberger K J, Van Schoonhoven J, Lanz U B
Klinik für Handchirurgie, Rhönklinikum, Bad Neustadt, Germany.
J Hand Surg Br. 2002 Feb;27(1):55-60. doi: 10.1054/jhsb.2001.0693.
This retrospective study evaluated the outcome of corrective osteotomy for malunited distal radial fractures and investigated the influence of the radiological result on the clinical outcome. Twenty-nine patients underwent corrective osteotomy for malunited, dorsally tilted fractures of the distal radius and 20 underwent corrective osteotomy for malunited, palmarly angulated distal radial fractures. All were surveyed at an average of 18 months after surgery and assessed for: pain; grip strength; range of motion; radial tilt; radial inclination; and ulnar variance. Postoperative radial tilt, radial inclination and ulnar variance were significantly improved by corrective osteotomy. Patients with no, or only minor residual deformity after corrective osteotomy had significantly better results than those with gross residual deformity.
这项回顾性研究评估了桡骨远端骨折畸形愈合的截骨矫正效果，并探讨了放射学结果对临床疗效的影响。29例患者接受了桡骨远端背侧倾斜畸形愈合骨折的截骨矫正，20例患者接受了桡骨远端掌侧成角畸形愈合骨折的截骨矫正。所有患者均在术后平均18个月接受调查，并评估以下指标：疼痛；握力；活动范围；桡骨倾斜度；桡骨倾角；以及尺骨变异。截骨矫正术后桡骨倾斜度、桡骨倾角和尺骨变异均有显著改善。截骨矫正后无残留畸形或仅有轻微残留畸形的患者，其结果明显优于有严重残留畸形的患者。
