Geissler W B, Fernandez D L
Department of Orthopedics, University Medical Center, Jackson, Mississippi.
J Orthop Trauma. 1991;5(3):255-64. doi: 10.1097/00005131-199109000-00002.
Between 1979 and 1986, 40 patients with intraarticular fractures of the distal radius, in which anatomic reduction could not be obtained by closed manipulation or external fixation, underwent a combination of percutaneous and/or limited open reduction techniques to restore articular congruity. All 40 patients' radiographs that were retrospectively reviewed with an average follow-up of 4 years showed satisfactory extraarticular alignment in 85% of cases, and 37 patients (92.5%) demonstrated an articular step-off of less than or equal to 1 mm. Thirty-one patients retrieved for follow-up had a good functional result. The treatment goals of intraarticular fractures of the distal radius are anatomic restoration of the joint surface and optimal fixation to maintain reduction in an effort to prevent posttraumatic arthrosis of the wrist.
1979年至1986年间，40例桡骨远端关节内骨折患者，经闭合手法复位或外固定无法获得解剖复位，采用经皮和/或有限切开复位技术相结合的方法恢复关节面的一致性。回顾性分析了所有40例患者的X线片，平均随访4年，结果显示85%的病例关节外对线满意，37例（92.5%）患者关节台阶小于或等于1mm。31例接受随访的患者功能恢复良好。桡骨远端关节内骨折的治疗目标是关节面的解剖复位和最佳固定以维持复位，从而预防腕关节创伤后关节炎。
