Fujii Koji, Henmi Tatsuhiko, Kanematsu Yoshiji, Mishiro Takuya, Sakai Toshinori, Terai Tomoya
Department of Orthopaedic Surgery, Health Insurance Naruto Hospital, Tokushima, Japan.
J Orthop Surg (Hong Kong). 2002 Jun;10(1):9-15. doi: 10.1177/230949900201000103.
The functional and anatomical results of distal end of radius fractures with severe displacement in 22 elderly patients are reviewed in this retrospective study. The mean age of the patients was 69.4 years (range, 60-88 years) and the mean follow-up period was 24 months (range, 12-53 months). According to the sum of demerit points (Saito, 1983), the latest follow-up functional end results were excellent in 64% of fractures and good in 36%. As for the anatomical results at follow-up, the average radial tilt was 20.7 degrees, ulnar variance was 4.0 mm, and palmar tilt was -2.7 degrees respectively. Though most of the patients had satisfactory outcome and the functional results did not correlate with the radiographic evidence of minor deformities, the functional results of the patients with radial shortening of 6 mm or over were poor. Furthermore, the grip power was the most significant factor related to subjective evaluation and did not improve significantly in patients with the non-dominant hand injured.
这项回顾性研究评估了22例老年桡骨远端严重移位骨折患者的功能和解剖学结果。患者平均年龄为69.4岁（范围60 - 88岁），平均随访期为24个月（范围12 - 53个月）。根据缺点积分总和（斋藤，1983年），最近一次随访时，64%的骨折功能最终结果为优，36%为良。随访时的解剖学结果方面，平均桡骨倾斜度为20.7度，尺骨差异为4.0毫米，掌侧倾斜度为 - 2.7度。尽管大多数患者预后良好，且功能结果与轻微畸形的影像学证据无关，但桡骨缩短6毫米及以上患者的功能结果较差。此外，握力是与主观评估相关的最重要因素，非优势手受伤的患者握力改善不明显。
