Koshkin A B, Sergeev S V, Matveev V S, Grishanin O B
Moscow City Clinical Hospital #20, Department of Traumatology, Russian Peoples' Friendship University, Department of Traumatology and Orthopaedics.
Ortop Traumatol Rehabil. 2008 Jul-Aug;10(4):324-30.
Although distal radius fractures are in the centre of orthopedic surgeons' attention, the rate of unsatisfactory treatment results remains very high. This study evaluates the analytical approach to distal radius fracture treatment. We observed 59 patients divided into 4 groups according to a modified Fernandez classification, regarding the patomechanism of injury: 1. bending extraarticular fractures; 2. shearing fractures; 3. comminuted fractures, and 4. malunions. We also took account of patients' compliance and demands. 1st and 2nd group patients underwent ORIF, the 3rd group was subjected to external fixation, and the 4th group underwent radial corrective osteotomy with plating. We obtained 53% good, 40% satisfactory and 7% poor results according to the Mattis score. We consider such analytical approach to distal forearm fracture treatment very promising and well-founded.
尽管桡骨远端骨折是骨科医生关注的焦点，但治疗效果不理想的比例仍然很高。本研究评估了桡骨远端骨折治疗的分析方法。我们观察了59例患者，根据改良的费尔南德斯分类法，按照损伤的病理机制将其分为4组：1. 弯曲型关节外骨折；2. 剪切型骨折；3. 粉碎性骨折；4. 畸形愈合。我们还考虑了患者的依从性和需求。第1组和第2组患者接受切开复位内固定术，第3组接受外固定，第4组接受桡骨矫正截骨钢板内固定术。根据马蒂斯评分，我们获得了53%的良好结果、40%的满意结果和7%的差结果。我们认为这种桡骨远端骨折治疗的分析方法非常有前景且有充分依据。
