Verhaven E, De Boeck H, Haentjens P, Opdecam P
Department of Orthopaedics and Traumatology, Vrije Universiteit Brussel, Belgium.
Acta Orthop Belg. 1991;57(4):362-73.
We treated 101 consecutive patients with Frykman type III, IV, VII and VIII fractures of the distal radius and ulna with the small Hoffman external fixator between 1986 and 1989. All patients were reviewed after a mean follow-up period of 22 months (range: 12 to 45 months). At follow-up, 88 wrists (87%) were rated good or excellent, according to the demerit point system, and 13 wrists (13%) were rated fair or poor according to the same system. A highly significant correlation (p less than 0.01) was found between the overall scores at follow-up and the grade of postoperative articular incongruity, between the overall scores and the grade of osteoarthritis at follow-up, between the grade of postoperative articular incongruity and the grade of osteoarthritis at the follow-up, as well as between the overall scores and the grip strength at follow-up. A significant correlation (p less than 0.05) was found between the length of follow-up and the grade of osteoarthritis at follow-up. Although the complication rate was rather high (40%), most of these problems were minor, transient and pin-related.
1986年至1989年间，我们使用小型霍夫曼外固定器治疗了101例连续的桡骨远端和尺骨Frykman III型、IV型、VII型和VIII型骨折患者。所有患者在平均随访22个月（范围：12至45个月）后接受复查。随访时，根据缺点评分系统，88例手腕（87%）评定为良好或优秀，13例手腕（13%）评定为一般或较差。随访时的总体评分与术后关节不匹配程度之间、总体评分与随访时骨关节炎程度之间、术后关节不匹配程度与随访时骨关节炎程度之间以及总体评分与随访时握力之间均存在高度显著相关性（p<0.01）。随访时间长度与随访时骨关节炎程度之间存在显著相关性（p<0.05）。尽管并发症发生率相当高（40%），但这些问题大多轻微、短暂且与钢针相关。
