Lutsky Kevin, McKeon Kathleen, Goldfarb Charles, Boyer Martin
Pennsylvania Orthopaedic Center, Paoli, PA, USA.
Tech Hand Up Extrem Surg. 2009 Dec;13(4):187-96. doi: 10.1097/BTH.0b013e3181c15de2.
Displaced, unstable intra-articular distal radius fractures are usually treated with reduction and fixation to allow early motion and minimize the potential for development of posttraumatic arthritis. The dorsal surgical approach allows direct visualization of the articular surface to ensure an anatomic reduction. Low profile, locked plates have minimized the unacceptable complication rates previously associated with dorsal plates. This study reviews the historical perspective, indications, technique, complications, and rehabilitation for dorsal, locked plate fixation of intra-articular distal radius fractures. The authors report a strategy for simplifying the fixation of these fractures.
移位的、不稳定的桡骨远端关节内骨折通常采用复位和固定治疗，以允许早期活动并尽量减少创伤后关节炎发生的可能性。背侧手术入路可直接观察关节面，以确保解剖复位。外形小巧的锁定钢板已使先前与背侧钢板相关的不可接受的并发症发生率降至最低。本研究回顾了桡骨远端关节内骨折背侧锁定钢板固定的历史背景、适应证、技术、并发症及康复情况。作者报告了一种简化这些骨折固定的策略。
