Genelin F, Gasperschitz F, Helmberger R, Kröpfl A, Moosmüller W
Unfallkrankenhaus Salzburg.
Handchir Mikrochir Plast Chir. 1991 Sep;23(5):245-8.
In the past, distal radius fractures tended to be treated conservatively. Recently, however, unsatisfactory anatomical and functional results have led to an increase in their surgical treatment. Our preferred method of treatment has been percutaneous pin fixation after closed reduction. In our opinion, open reduction and internal fixation with an A0-plate is indicated for Smith fractures (B3 A0-classification), and for any fractures which cannot be ideally reduced (usually C1 to C3 fractures). From 1972 until 1989, 84 patients with distal radius fractures underwent surgical treatment in the Unfallkrankenhaus Salzburg. The procedure was usually performed under brachial plexus or Bier block, and we preferred a palmarly positioned plate for internal fixation. Follow-up of 42 patients showed good results, the functional and subjective results earning higher marks than the X-ray findings.
过去，桡骨远端骨折往往采用保守治疗。然而，近来，由于解剖和功能恢复结果不尽人意，其手术治疗的比例有所增加。我们首选的治疗方法是闭合复位后经皮穿针固定。我们认为，对于史密斯骨折（A0分类B3型）以及任何无法达到理想复位的骨折（通常为C1至C3型骨折），应采用A0钢板切开复位内固定。1972年至1989年期间，萨尔茨堡创伤医院对84例桡骨远端骨折患者进行了手术治疗。手术通常在臂丛神经阻滞或 Bier 阻滞下进行，我们更倾向于使用掌侧钢板进行内固定。对42例患者的随访结果显示效果良好，功能和主观结果的评分高于X线检查结果。
