外固定架治疗桡骨远端粉碎性骨折的疗效分析

[Analysis of therapeutic effects of external fixator for the treatment of comminuted fracture of distal radius].

作者信息

Zhang Hua-jun, Wang Shu-jin, Zhou Li-jian, Wang Yao-wei

机构信息

Department of Orthopaedics, the People's Hospital of Danyang, Danyang 212300, Jiangsu, China.

出版信息

Zhongguo Gu Shang. 2011 Nov;24(11):901-3.

PMID:22295481

Abstract

OBJECTIVE

To evaluate the clinical effects of external fixator in treating comminuted fracture of distal radius.

METHODS

From Mar.2008 to Dec.2009, 37 patients with comminuted fracture of distal radius were treated with external fixator or assisted with Kirschner wire and T-shape locking compression plate (T-LCP) fixation. There were 14 males and 23 females, ranging in age from 30 to 79 years, with an average of 59.1 years. According to AO typing, type C1 was in 3 cases, type C2 was in 11 cases and type C3 was in 23 cases. Function of wrist joint and X-ray films were observed according to Gratland-Werley system at different months.

RESULTS

All patients were followed up from 8 to 24 months with an average of 12 months. All fractures had healing with an average time of 8 weeks. According to Gratland-Werley system, 16 cases obtained excellent result, 17 good, 4 fair, the rate of excellent and good was 89.0%.

CONCLUSION

External fixator can obtained satisfactory clinical effect in treating comminuted fracture of distal radius.

摘要

目的

评估外固定器治疗桡骨远端粉碎性骨折的临床效果。

方法

2008年3月至2009年12月，对37例桡骨远端粉碎性骨折患者采用外固定器治疗，或辅助克氏针及T形锁定加压钢板（T-LCP）固定。其中男性14例，女性23例，年龄30～79岁，平均59.1岁。按AO分型，C1型3例，C2型11例，C3型23例。于不同月份根据Gratland-Werley系统观察腕关节功能及X线片情况。