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前臂骨折畸形愈合与骨不连

Malunions and nonunions of the forearm.

作者信息

Richard Marc J, Ruch David S, Aldridge J Mack

机构信息

Division of Orthopaedic Surgery, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

Hand Clin. 2007 May;23(2):235-43, vii. doi: 10.1016/j.hcl.2007.02.005.

Abstract

Modern techniques allow for high rates of union in the treatment of diaphyseal forearm fractures. In the case of nonunion, addressing the biology and stability of the fracture will similarly yield high union rates, but slightly decreased functional outcomes. Malunion of forearm fractures typically results in loss of range of motion and grip strength. Restoration of the anatomical relationships of the forearm yields functional results. Understanding and recreating the anatomy of the forearm is the key to obtaining good functional outcomes.

摘要

现代技术使尺桡骨干骨折的愈合率较高。在骨折不愈合的情况下,解决骨折的生物学和稳定性问题同样会产生较高的愈合率,但功能结果会略有下降。前臂骨折畸形愈合通常会导致活动范围和握力丧失。恢复前臂的解剖关系可产生良好的功能结果。理解并重建前臂的解剖结构是获得良好功能结果的关键。

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