Huber F-X, Hillmeier J, Kock H-J, McArthur N, Huber C, Diwo M, Baier M, Meeder P J
Chirurgische Universitätsklinik Heidelberg, Sektion Unfall- und Wiederherstellungschirurgie, Heidelberg.
Zentralbl Chir. 2008 Dec;133(6):577-81. doi: 10.1055/s-2008-1076873. Epub 2008 Dec 17.
In this study, innovative bone replacement material was tested after complicated metaphyseal radius fractures with the affected joints.
In all, 11 C 2, 11 C 3 and 3 A 3 radius fractures were treated by surgery combining an angularly stable palmar plate osteosynthesis with defect filling using nanocrystalline hydroxyapatite. Examinations were conducted preoperatively and postoperatively after 4 weeks, 12 weeks and 9-12 months.
After 10.5+/-1.4 months, inclination angles of 8.7+/-1.8 degrees (dorsopalmar) and 18.8+/-2.9 degrees (radioulnar) were measured at the treated fractures, the ulnar drift was 0.6+/-1.8 mm. According to the Gartland/Werley scale, 10 therapeutic results were considered "excellent", 12 "good" and 3 "fair".
An angularly stable plate osteosynthesis with metaphyseal defect filling using nanocrystalline hydroxyapatite for the treatment of A 3, C 2 and C 3 radius fractures showed satisfactory radiological and clinical results.
本研究中，对用于治疗伴有受累关节的复杂桡骨远端骨折的创新型骨替代材料进行了测试。
总共对11例C2型、11例C3型和3例A3型桡骨骨折采用角稳定掌侧钢板内固定联合纳米晶羟基磷灰石填充骨缺损的手术方法进行治疗。术前以及术后4周、12周和9 - 12个月进行检查。
在10.5±1.4个月后，测量得到治疗骨折处的背掌倾角为8.7±1.8度，桡尺倾角为18.8±2.9度，尺侧偏移为0.6±1.8毫米。根据Gartland/Werley评分标准，10例治疗结果为“优”，12例为“良”，3例为“可”。
采用纳米晶羟基磷灰石填充干骺端缺损的角稳定钢板内固定治疗A3型、C2型和C3型桡骨骨折，在影像学和临床方面均显示出满意的结果。
Zotero 插件