Jakim I, Pieterse H S, Sweet M B
Hillbrow Hospital, Johannesburg, Republic of South Africa.
J Bone Joint Surg Br. 1991 Mar;73(2):302-6. doi: 10.1302/0301-620X.73B2.2005161.
In a prospective study of 132 patients with an average age of 35 years, unstable intra-articular fractures of the distal radius were treated by external fixator. Only 15 cases required limited open reduction. Follow-up was for a mean of 42 months. There were few complications and 83% of patients had good or excellent results. There was a statistically significant correlation between the severity of the fracture and the clinical outcome, irrespective of radiological restoration. Articular and soft-tissue damage following violent compressive forces may lead to a degree of functional impairment.
在一项对平均年龄为35岁的132例患者的前瞻性研究中,采用外固定器治疗桡骨远端关节内不稳定骨折。仅15例需要有限切开复位。平均随访42个月。并发症较少,83%的患者结果良好或优秀。无论放射学复位情况如何,骨折严重程度与临床结果之间存在统计学上的显著相关性。暴力压缩力导致的关节和软组织损伤可能会导致一定程度的功能障碍。