Wick M, Wiesner M
Chirurgie, Krankenhaus Eggenfelden, Eggenfelden.
Z Orthop Unfall. 2010 Jan;148(1):66-71. doi: 10.1055/s-0029-1186203. Epub 2009 Nov 12.
The purpose of this retrospective study was to investigate the clinical and radiographic results after operative treatment of dislocated distal radius fractures with a new self-locking volar plate system.
67 patients (average age 61.4 years) with a dislocated distal radius fracture were treated with the ITS plate system. Clinical and radiographic evaluation was done with a mean follow-up of 9.3 months.
The mean DASH score reached 14 points, the modified Gartland/Werley score was 6.9. There was one loss of reduction on radiographic evaluation, which yielded to a dorsal osteosynthesis. Average postoperative radial inclination was 20.5 degrees (16-29 degrees) and the volar tilt 9.3 degrees (3-15 degrees). One plate had to be removed after three months because of dislocation of a malpositioned screw. There were no cases of infection or tendon ruptures. No patient required autograft bone.
This new locking plate system offers an excellent option in the treatment of dislocated distal radius fractures, especially in osteoporotic bone with a dorsal comminution.
本回顾性研究的目的是探讨采用新型自锁掌侧钢板系统手术治疗桡骨远端骨折脱位后的临床及影像学结果。
67例桡骨远端骨折脱位患者（平均年龄61.4岁）采用ITS钢板系统治疗。进行了临床及影像学评估，平均随访9.3个月。
平均DASH评分为14分，改良Gartland/Werley评分为6.9分。影像学评估发现1例复位丢失，改行背侧接骨板固定。术后平均桡骨倾斜度为20.5度（16 - 29度），掌倾角为9.3度（3 - 15度）。1枚钢板在术后3个月因位置不当的螺钉脱位而取出。无感染或肌腱断裂病例。无需植骨。
这种新型锁定钢板系统为桡骨远端骨折脱位的治疗提供了一个很好的选择，尤其是对于伴有背侧粉碎的骨质疏松性骨折。
