Mah E T, Atkinson R N
Modbury Hospital, Adelaide, Australia.
J Hand Surg Br. 1992 Feb;17(1):55-62. doi: 10.1016/0266-7681(92)90012-q.
32 consecutive unstable Colles' fractures were treated by closed reduction and percutaneous Kirschner wire stabilisation through the radial styloid, followed by a below-elbow cast. Radiological assessment was made at five stages of treatment: at the time of the fracture, immediately after operation, after two weeks, after six weeks and a final review at an average period of 15.9 months. Functional assessment was made at the final review. Only three fractures developed secondary displacement, which was due to the wrong placement of the Kirschner wire. There were no complications.
32例连续性不稳定Colles骨折采用闭合复位，并通过桡骨茎突经皮克氏针固定，随后应用肘下石膏固定。在治疗的五个阶段进行影像学评估：骨折时、术后即刻、两周后、六周后以及平均15.9个月的最终复查。在最终复查时进行功能评估。仅3例骨折出现继发移位，原因是克氏针放置错误。无并发症发生。
