Department of Orthopaedics and Traumatology, University of Insubria, Ospedale di Circolo-Fondazione Macchi, V.le Borri 57, 2110 Varese, Italy.
Injury. 2010 Nov;41(11):1120-6. doi: 10.1016/j.injury.2010.09.016. Epub 2010 Oct 8.
Distal radius fractures are the most frequent lesions encountered during clinical practice. The treatment is controversial and still debated in the literature. For a correct management of these lesions many authors recently emphasised the importance of anatomical reduction, a stable fixation and early joint mobilisation. We report our experience in the daily management of these lesions. The fractures are evaluated considering fracture type, fracture reduction criteria, adequacy of reduction criteria and overall fracture stability. The best treatment option must be decided in accordance to the type of fracture, the extent of metaphyseal comminution, the quality of the bone and the medical condition of the patient.
桡骨远端骨折是临床实践中最常见的损伤。其治疗存在争议，文献中仍在讨论。为了正确处理这些损伤，许多作者最近强调了解剖复位、稳定固定和早期关节活动的重要性。我们报告了我们在日常处理这些损伤方面的经验。骨折的评估考虑了骨折类型、骨折复位标准、复位标准的充分性和整体骨折稳定性。最佳治疗方案必须根据骨折类型、干骺端粉碎程度、骨质量和患者的身体状况来决定。
