一期植骨并不能改善严重移位的桡骨远端骨折的治疗效果。
Primary bone grafting does not improve the results in severely displaced distal radius fractures.
作者信息
Widman Jan, Isacson Johan
机构信息
Ortopedkliniken, S:t Görans sjukhus, Stockholm, Sweden.
出版信息
Int Orthop. 2002;26(1):20-2. doi: 10.1007/s00264-001-0320-6.
We prospectively randomised 45 patients ages 20-70 years with distal radius fractures of Older type III and IV to one of two treatment groups. One group was treated with closed reduction, primary bone grafting, and external fixation for 3 weeks, followed by a plaster cast that allowed volar flexion, for an additional 3 weeks. The other group was treated with closed reduction and external fixation for 6 weeks. The functional and radiographic results were evaluated. There was no difference between the two groups in either clinical or radiographic outcome. We do not recommend external fixation and primary bone grafting as a routine method in these fractures.
我们将45例年龄在20 - 70岁、患有老年型III型和IV型桡骨远端骨折的患者前瞻性地随机分为两个治疗组。一组采用闭合复位、一期植骨和外固定3周，随后使用允许掌侧屈曲的石膏固定，再持续3周。另一组采用闭合复位和外固定6周。对功能和影像学结果进行评估。两组在临床或影像学结果上均无差异。我们不建议将外固定和一期植骨作为这些骨折的常规治疗方法。
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