Szyluk Karol, Jasiński Andrzej, Koczy Bogdan, Widuchowski Wojciech, Widuchowski Jerzy
Dr J. Daab Regional Independent Public Traumatology Hospital in Piekary Slaskie.
Ortop Traumatol Rehabil. 2007 Sep-Oct;9(5):511-9.
Distal radius fractures are a serious clinical problem. The evaluation of fracture stability and selection of a treatment method are of key importance for treatment outcomes. Purpose of the study. The study evaluated the outcomes of treatment of unstable distal radius fractures using percutaneous K wire fixation.
A total of 112 patients with confirmed unstable distal radius fractures were treated by percutaneous K wire fixation. Fractures were classified according to the AO/ASIF classification. Functional outcomes were evaluated with the Gartland-Werley scale as well as the Disabilities of the Arm, Shoulder and Hand (DASH) scale. Radiological outcomes were evaluated with the Lidstrom scale.
The mean overall DASH score was 16.5. A scoring system based on the Gartland-Werley scale rated the outcomes as excellent and good in 95 (84.7%) patients, fair in 14 (12.5%) and poor in 3 (2.8%). Lidstrom radiological scores revealed 89 (79.5%) excellent and good results, 14 (12.5%) fair results and 9 (8%) poor results.
Treatment of unstable distal radius fractures with percutaneous K wire fixation produces good results in patients with fracture types A2, A3, B1, B2, C1, and C2.
桡骨远端骨折是一个严重的临床问题。骨折稳定性的评估和治疗方法的选择对于治疗结果至关重要。研究目的。本研究评估了经皮克氏针固定治疗不稳定桡骨远端骨折的效果。
共有112例确诊为不稳定桡骨远端骨折的患者接受了经皮克氏针固定治疗。骨折根据AO/ASIF分类法进行分类。功能结果采用Gartland-Werley量表以及手臂、肩部和手部功能障碍（DASH）量表进行评估。放射学结果采用Lidstrom量表进行评估。
DASH总分平均为16.5分。基于Gartland-Werley量表的评分系统将95例（84.7%）患者的结果评为优和良，14例（12.5%）为中，3例（2.8%）为差。Lidstrom放射学评分显示，89例（79.5%）结果为优和良，14例（12.5%）为中，9例（8%）为差。
经皮克氏针固定治疗A2、A3、B1、B2、C1和C2型不稳定桡骨远端骨折对患者疗效良好。
