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桡骨远端骨折的研究进展

[Research advancement of the distal radius fracture].

作者信息

Zhao Liang, Tang Yi-bo, Su Jia-can

机构信息

Department of Orthopaedics, Chaughai Hospital, Second Military Medical University, Shanghai 200433, China.

出版信息

Zhongguo Gu Shang. 2010 Aug;23(8):638-41.

Abstract

Distal radius fracture is one of the most common injuries of human beings, particularly in young males and elderly females. There are various classifications among which classification by author' names and the AO fracture classification system are most frequently used. Although the latter one is overall and consummate, a precise classification system with complete description of the fracture remains to be raised. Recently, with the development of wrist biomechanics and microscope anatomy, more and more studies were made to treat distal radius fracture. Good reduction and fixation are the key points for treatment. In tenns uf treatment, several options exist. Nonoperative management consists of closed replacoment and external fixation. Operative treatments includes intrafocal pinning ,non-bridging and bridging external fixation , various methods of open reduction internal fixation and hone or bone substitute transplantation. Besides, arthroscopic-assisted external fixation and artificial joint for wrist become a new hot spot. However,any single therapy could not treat all sorts of distal radius fractures. Therefore, it is better to institute individualized therapy according to different fracture characteristics of each patient in order to achieve the best curative effect. This review aims to make a conclusion about advancement in distal radius fractures, in aspects of epidemiology, classification and treatment.

摘要

桡骨远端骨折是人类最常见的损伤之一,尤其在年轻男性和老年女性中。其分类方法多样,其中以作者名字命名的分类法和AO骨折分类系统最为常用。尽管后者全面且完善,但仍有待提出一种能完整描述骨折的精确分类系统。近年来,随着腕关节生物力学和显微解剖学的发展,针对桡骨远端骨折的治疗研究越来越多。良好的复位和固定是治疗的关键。在治疗方面,有多种选择。非手术治疗包括闭合复位和外固定。手术治疗包括病灶内穿针、非桥接和桥接外固定、各种切开复位内固定方法以及植骨或骨替代移植。此外,关节镜辅助外固定和腕关节人工关节成为新的热点。然而,任何单一疗法都无法治疗所有类型的桡骨远端骨折。因此,最好根据每个患者不同的骨折特点制定个体化治疗方案,以达到最佳疗效。本综述旨在对桡骨远端骨折在流行病学、分类和治疗等方面的进展进行总结。

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