Fernandez D L, Geissler W B
Department of Surgery, Kantonsspital Aarau, Switzerland.
J Hand Surg Am. 1991 May;16(3):375-84. doi: 10.1016/0363-5023(91)90001-r.
Forty patients with articular fractures of the distal radius in which anatomic reduction of the joint surface could not be obtained by closed manipulation or by ligamentotaxis with external fixators had a combination of percutaneous and/or open reduction techniques to restore articular congruity. X-ray films taken after treatment with an average follow-up of 4 years showed satisfactory extraarticular alignment in 85% of the cases, and 37 (92.5%) patients demonstrated an articular step-off of 1 mm or less at late follow-up examination. Radiographic evidence of radiocarpal arthritis was present in 5% of the cases at follow-up examination.
40例桡骨远端关节骨折患者，无法通过闭合手法复位或外固定架韧带牵引实现关节面解剖复位，遂采用经皮和/或切开复位技术相结合的方法来恢复关节一致性。治疗后平均随访4年时拍摄的X线片显示，85%的病例关节外对线情况令人满意，37例（92.5%）患者在后期随访检查时关节台阶小于或等于1mm。随访检查时，5%的病例有桡腕关节炎的影像学证据。
