Tavakolian Jason D, Jupiter Jesse B
The Curtis National Hand Center, Union Memorial Hospital, 3333 North Calvert Street, Baltimore, MD 21218, USA.
Hand Clin. 2005 Aug;21(3):341-6. doi: 10.1016/j.hcl.2005.02.001.
A dorsal approach to the distal radius for comminuted intra-articular fractures affords excellent exposure of the joint surface. Dorsal plating can reliably buttress the joint, leading to low rates of arthrosis, but at the expense of wrist stiffness and high rates of extensor tendon problems. New, smaller implants may prove capable of supporting the joint with lower rates of extensor irritation.
对于桡骨远端粉碎性关节内骨折,采用背侧入路可很好地显露关节面。背侧钢板固定能可靠地支撑关节,从而降低关节炎发生率,但代价是腕关节僵硬以及伸肌腱问题发生率高。新型的较小植入物可能证明能够以较低的伸肌激惹率支撑关节。