Schumer Evan D, Leslie Bruce M
Newton-Wellesley Hospital, Newton, MA, USA.
Tech Hand Up Extrem Surg. 2005 Jun;9(2):74-83. doi: 10.1097/01.bth.0000158974.15897.1b.
Fragment-specific fixation of the distal radius represents a new technique for addressing complex distal radius fractures. It signifies a substantial shift in the thought process of open reduction and internal fixation; each fracture fragment is addressed independently with small plates or wire forms, allowing comminuted fractures to be anatomically restored and early motion started. Although the system is at first daunting, its modularity provides flexibility for the surgeon to modify the fixation to the individual needs of the patient's specific fracture pattern and the surgeon's level of expertise. Once the technique has been learned, the surgeon will have in his or her armamentarium a powerful new tool to treat fractures that had before been difficult to address satisfactorily with conventional techniques.
桡骨远端骨折块特异性固定是一种治疗复杂桡骨远端骨折的新技术。它标志着切开复位内固定思维模式的重大转变；每个骨折块都用小钢板或钢丝独立固定，使粉碎性骨折能够解剖复位并尽早开始活动。尽管该系统一开始令人望而生畏，但其模块化设计为外科医生根据患者特定骨折类型的个体需求以及自身专业水平调整固定方式提供了灵活性。一旦掌握了这项技术，外科医生将拥有一种强大新工具，用于治疗以往难以用传统技术令人满意地处理的骨折。
