Osada Denju, Kamei Shuzo, Takai Morimitsu, Tomizawa Kazuo, Tamai Kazuya
Department of Orthopaedics, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, Japan.
Hand Surg. 2007;12(3):183-90. doi: 10.1142/S0218810407003560.
We describe our experience of using a volar locking plate for corrective osteotomy and bone grafting combined with early mobilisation in the treatment of distal radius malunions. Corrective osteotomy of the distal radius was performed through a volar approach, and fixated by a volar locking plate associated with corticocancellous iliac bone grafting in three patients aged 16, 71 and 75 years. Two patients had had volarly displaced malunion and one dorsally displaced malunion. Wrist motion was started immediately after surgery. The average follow-up was 15 months (range, 12-20 months). All osteotomies healed at an average 5.7 weeks post-operatively, resulting in a total arc of wrist motion of 133 degrees, forearm rotation of 167 degrees, and grip strength of 70% of that of the contralateral side. This treatment method proved to be effective and safe.
我们描述了使用掌侧锁定钢板进行矫正截骨术和植骨并结合早期活动来治疗桡骨远端畸形愈合的经验。对3例年龄分别为16岁、71岁和75岁的患者，经掌侧入路对桡骨远端进行矫正截骨术，并用掌侧锁定钢板固定，同时行髂骨皮质松质骨移植。2例患者为掌侧移位畸形愈合，1例为背侧移位畸形愈合。术后立即开始腕关节活动。平均随访15个月（范围12 - 20个月）。所有截骨术平均在术后5.7周愈合，腕关节活动总弧度为133度，前臂旋转度为167度，握力为对侧的70%。这种治疗方法被证明是有效且安全的。
