Rosati Marco, Bertagnini Sara, Digrandi Giuseppe, Sala Carmelo
Orthopaedic Department, University of Pisa, Via Risorgimento 36, 56100 Pisa, Italy.
Acta Orthop Belg. 2006 Apr;72(2):138-46.
The results of treatment of wrist fractures with percutaneous pin fixation in 106 patients are reported. Functional and radiological evaluation was made for all patients. All fractures healed; loss of reduction occurred in only two cases. The best results were obtained in metaphyseal fractures of the radius, while good results were obtained in intra-articular fractures; the worst results were noted in cases with an associated fracture of the ulnar styloid, in elderly patients, or in cases with associated fractures in other parts of the skeleton. When the volar tilt has been restored to more than 10 degrees higher than normal, loss of wrist motion may occur. No vascular, nervous or tendinous lesion was noted. A nerve entrapment syndrome at the wrist occurred in a fairly high percentage of cases (14.1%).
报告了106例腕部骨折经皮穿针固定治疗的结果。对所有患者进行了功能和影像学评估。所有骨折均愈合；仅2例出现复位丢失。桡骨干骺端骨折取得了最佳效果，而关节内骨折取得了良好效果；尺骨茎突骨折、老年患者或骨骼其他部位合并骨折的病例效果最差。当掌倾角恢复到比正常高10度以上时，可能会出现腕关节活动丧失。未发现血管、神经或肌腱损伤。相当高比例的病例（14.1%）出现了腕部神经卡压综合征。
