McQueen M M, Michie M, Court-Brown C M
Edinburgh Trauma Unit, Royal Infirmary, Scotland.
Clin Orthop Relat Res. 1992 Dec(285):200-4.
Twenty-eight patients with 31 fractures of the distal radius were treated by closed external fixation. The complication rate for this series was 50%. Anatomic results were acceptable but hand function at final review was disappointing, particularly in the measurement of grip strength and the patient's ability to perform the activities of daily living. There was a highly significant correlation between complications and poor functional outcome. Although external fixation can achieve restoration of normal anatomy, functional outcome may be poor because of the severity of the associated soft tissue injury.
28例桡骨远端31处骨折患者接受了闭合外固定治疗。该组的并发症发生率为50%。解剖学结果尚可,但最终复查时手部功能令人失望,尤其是在握力测量以及患者进行日常生活活动的能力方面。并发症与功能预后不良之间存在高度显著的相关性。尽管外固定可以实现正常解剖结构的恢复,但由于相关软组织损伤的严重程度,功能预后可能较差。