Schmit-Neuerburg K P, Letsch R, Stürmer K M, Koeser K
Abteilung für Unfallchirurgie, Universitätsklinikum Essen.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:667-74.
The severity of a fracture of the distal radius is not only determined by the type of the fracture but also by concomitant ligamentous and carpal injuries, which are often underestimated and imply a higher degree of instability than the bony lesion alone. Therefore classifications are valuable, which combine fracture type and associated lesions, thus permitting conclusion about the therapeutic method of choice. The article discusses indication, operative technique and special features of radial fractures in combination with carpal injuries, of radial styloid fractures as well as Barton's and Reverse-Barton's fractures, of bilateral radial fractures and of radial fractures as part of a chain fracture. It is important to perform an early fasciotomy and carpal tunnel release in cases of severe soft tissue damage and threatening compartment syndrome.
桡骨远端骨折的严重程度不仅取决于骨折类型，还取决于同时存在的韧带和腕骨损伤，这些损伤常常被低估，并且意味着比单纯的骨损伤有更高程度的不稳定性。因此，将骨折类型和相关损伤结合起来的分类方法很有价值，从而可以得出关于首选治疗方法的结论。本文讨论了伴有腕骨损伤的桡骨骨折、桡骨茎突骨折以及巴顿骨折和反巴顿骨折、双侧桡骨骨折以及作为连锁骨折一部分的桡骨骨折的适应证、手术技术和特点。在严重软组织损伤和有发生骨筋膜室综合征风险的情况下，早期进行筋膜切开术和腕管松解术很重要。
