Langkamer V G, Ackroyd C E
Comparative Orthopaedic Research Unit, Bristol University, UK.
Injury. 1991 Mar;22(2):97-102. doi: 10.1016/0020-1383(91)90063-k.
A series of 156 diaphyseal forearm fractures in 108 patients were treated by internal fixation between 1980 and 1985. These cases have been critically reviewed in the light of the present knowledge and expertise of internal fixation. A total of 122 fractures were fixed with ASIF compression plates. An analysis of results shows that 17 patients (15.7 per cent) had a poor clinical symptom result, 29 patients (26.9 per cent) had a poor functional score, 14 (13 per cent) had a poor subjective and employment score, and 40 fractures (32 per cent) united after 18 weeks. Non-union rate was 10.3 per cent, the infection rate was 5.5 per cent and there were three cases (2.7 per cent) of synostosis. Only six patients had primary cancellous bone grafting. A statistical analysis of the variables which may affect the result shows that the most important factors are accurate reduction of the fracture, correct use of interfragmentary screw fixation and rigid fixation. Failure to observe these rules will produce a poor result. Fracture complexity and comminution, especially if combined with a butterfly fragment, predispose to a poor result.
1980年至1985年间，对108例患者的156例尺桡骨干骨折进行了内固定治疗。根据目前的内固定知识和专业技术，对这些病例进行了严格审查。共有122例骨折采用AO/ASIF加压钢板固定。结果分析显示，17例患者（15.7%）临床症状结果较差，29例患者（26.9%）功能评分较差，14例患者（13%）主观和就业评分较差，40例骨折（32%）在18周后愈合。骨不连发生率为10.3%，感染率为5.5%，有3例（2.7%）发生骨桥形成。仅6例患者进行了一期松质骨植骨。对可能影响结果的变量进行统计分析表明，最重要的因素是骨折的准确复位、骨折块间螺钉固定的正确使用和坚强固定。未遵守这些原则将导致不良结果。骨折的复杂性和粉碎性，尤其是伴有蝶形骨块时，易导致不良结果。
