Szabo R M
University of California, Davis, Sacramento.
Orthop Clin North Am. 1992 Jan;23(1):1-6.
Comminuted displaced fractures of the distal end of the radius pose a significant treatment challenge. The goal of treatment is to restore functional, painless motion of the wrist and fingers. Although satisfactory results correlate to a large extent with obtaining and maintaining normal anatomy, excessive distraction and a flexed wrist position with external fixation cause more harm than good, even if the anatomy is restored.
桡骨远端粉碎性移位骨折给治疗带来了重大挑战。治疗的目标是恢复腕部和手指的功能性无痛活动。尽管满意的治疗效果在很大程度上与恢复并维持正常解剖结构相关,但即使解剖结构得以恢复,过度牵引以及外固定时腕部处于屈曲位所造成的危害大于益处。