Del Piñal Francisco
Instituto de Cirugía Plástica y de la Mano, and Hospital Mutua Montañesa, Santander, Spain.
J Hand Surg Am. 2011 Oct;36(10):1694-705. doi: 10.1016/j.jhsa.2011.07.021.
Contrary to general belief, arthroscopic assisted reduction in distal radius fractures can be done in an expeditious manner and with minimal consumption of operating room resources. This article presents the steps for a pleasant arthroscopic experience in detail. The technique proposed combines the benefits of rigid fixation with volar locking plates (for the extra-articular component) and arthroscopic control of the reduction (for the articular component). It is important that the operation be carried out using the dry arthroscopic technique. However, arthroscopy is just an addition to conventional methods. Thorough knowledge of and facility with classic techniques of distal radius fracture treatment is essential for a good result.
与普遍看法相反,桡骨远端骨折的关节镜辅助复位可以迅速完成,且手术室资源消耗极少。本文详细介绍了获得良好关节镜手术体验的步骤。所提出的技术结合了使用掌侧锁定钢板进行坚强内固定(用于关节外部分)和关节镜控制复位(用于关节内部分)的优点。采用干式关节镜技术进行手术很重要。然而,关节镜检查只是传统方法的补充。对桡骨远端骨折经典治疗技术有全面的了解并熟练掌握,对于取得良好效果至关重要。