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桡骨远端骨折畸形愈合的截骨矫正术疗效

Outcome in corrective osteotomy for malunited distal radius fractures.

作者信息

Samson Lucjan, Treder Mariusz, Kolarz Krzysztof, Lorczyński Adam

机构信息

Klinika Ortopedii i Traumatologii Narzadu Ruchu Akademia Medyczna w Gdańsku, Gdańsk.

出版信息

Ortop Traumatol Rehabil. 2007 Jan-Feb;9(1):82-8.

Abstract

BACKGROUND

This article reports outcome in osteotomy for malunion of distal radius fractures.

MATERIAL AND METHODS

We evaluated 12 patients with distal radius malunion (mean age 54), who were treated with corrective osteotomy. Wrist motion and grip strength were evaluated, along with examination of pre and post osteotomy radiographs. The indications for corrections were degree of deformity, limitation of function, pain, and the appearance of the wrist.

RESULTS

The radiographic evaluation proved that the restoration of the normal anatomic relationship between the distal radius and ulna leads to significant improvement of the function of the hand, as measured by range of motion and grip strength.

CONCLUSION

Osteotomy of the distal radius in cases of malunion gives favorable outcomes.

摘要

背景

本文报道桡骨远端骨折畸形愈合截骨术的结果。

材料与方法

我们评估了12例桡骨远端畸形愈合患者(平均年龄54岁),他们接受了矫正截骨术。评估了腕关节活动度和握力,并对截骨术前、后的X线片进行了检查。矫正的指征包括畸形程度、功能受限、疼痛以及腕关节外观。

结果

影像学评估证明,桡骨远端与尺骨之间正常解剖关系的恢复,可使手部功能在活动范围和握力方面得到显著改善。

结论

畸形愈合病例中桡骨远端截骨术可取得良好效果。

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