Milliez P Y, Dallaserra M, Defives T, el Ayoubi L, Thomine J M
C.C.T.O.R. Hôpital Ch. Nicolle, Rouen, France.
Int Orthop. 1992;16(1):39-43. doi: 10.1007/BF00182983.
We have undertaken a prospective study of the management of fractures of the distal radius using three Kirschner wires as advocated by Kapandji. 30 were immobilised and the other 30 allowed early movement. Complications involving pin migration and rupture of extensor tendons occurred only in the latter group, and one patient in the other group developed Reflex Sympathetic Dystrophy. At three months there was no statistically significant difference in movement or level of pain between the two groups. Grip was better after two months in those mobilised early. The final radiographic appearances were similar in both groups. Early mobilisation should only be used in patients who have good quality bone and will carefully observe instructions after operation.
我们采用了前瞻性研究，按照卡潘迪倡导的方法，使用三根克氏针对桡骨远端骨折进行治疗。30例患者采用固定治疗，另外30例则允许早期活动。仅在后一组中出现了涉及钢针移位和伸肌腱断裂的并发症，另一组中有1例患者发生了反射性交感神经营养不良。三个月时，两组之间在活动度或疼痛程度方面没有统计学上的显著差异。早期活动的患者在两个月后握力更好。两组的最终影像学表现相似。早期活动仅适用于骨质良好且术后会严格遵守医嘱的患者。
