非桥接与桥接外固定架治疗桡骨远端不稳定骨折的对比研究

Comparative study of nonbridging and bridging external fixators for unstable distal radius fractures.

作者信息

Uchikura Chozo, Hirano Jun, Kudo Fumitaka, Satomi Kazuhiko, Ohno Takaya

机构信息

Department of Orthopedic Surgery, Kyorin University, School of Medicine, 6-20-2 Shinnkawa, Mitaka 181-8611, Japan.

出版信息

J Orthop Sci. 2004;9(6):560-5. doi: 10.1007/s00776-004-0828-x.

DOI:10.1007/s00776-004-0828-x

PMID:16228671

Abstract

The purpose of this study was to compare nonbridging external fixators (group NB) with bridging external fixators (group B) in the treatment for unstable distal radius fractures. The subjects consisted of 84 patients, 42 in each group. Mean patient age was 64.0 years in group NB and 59.6 years in group B. According to Saito's classification, most fractures were of the comminuted Colles type. No bone graft was made in group NB. Patients of group B showed serious reflex sympathetic dystrophy (RSD). On Saito's evaluation criteria, the proportion of patients evaluated as "good" or better was 100% in group NB and 95.6% in group B. This finding can be taken as evidence that group NB patients showed better results.

摘要

本研究的目的是比较非桥接外固定器（NB组）与桥接外固定器（B组）治疗不稳定桡骨远端骨折的效果。研究对象包括84例患者，每组42例。NB组患者平均年龄为64.0岁，B组为59.6岁。根据斋藤分类法，大多数骨折为粉碎性科雷氏骨折。NB组未进行植骨。B组患者出现严重的反射性交感神经营养不良（RSD）。根据斋藤评估标准，NB组被评估为“良好”或更好的患者比例为100%，B组为95.6%。这一结果可作为NB组患者疗效更佳的证据。