Habernek H, Schmid L
Unfallabteilung, Landeskrankenhaus Bad Ischl.
Unfallchirurg. 1992 Jul;95(7):339-43.
A modified technique for percutaneous K-wire pinning of distal radius fractures is presented. With this method, three to four K-wires are introduced from the radial styloid process towards and through the dorsal, volar and ulnar proximal cortical wall, respectively. After the fracture fragments have been demonstrated to be stable, the wires are cut, bent over and fixed. Then a dorsal plaster splint is applied, which should be worn for 4-6 weeks, depending on whether or not there is a dorsal comminution zone. Fifty-five patients have been operated on by this method. At follow-up 6 months after the operation, no secondary dislocation, wire migration, infection, Sudeck syndrome or functional disturbance was seen. The advantage of this method is emphasized as compared with the usual, previously published method.
介绍了一种改良的经皮克氏针固定桡骨远端骨折的技术。采用这种方法，分别从桡骨茎突向背侧、掌侧和尺侧近端皮质壁穿入3至4根克氏针。在证实骨折碎片稳定后，将克氏针剪断、折弯并固定。然后应用背侧石膏夹板，根据是否存在背侧粉碎区，应佩戴4至6周。已有55例患者采用此方法进行手术。术后6个月随访时，未发现二次脱位、克氏针移位、感染、反射性交感神经营养不良综合征或功能障碍。与以往发表的常规方法相比，强调了这种方法的优点。
