Schneppendahl Johannes, Windolf Joachim, Kaufmann Robert A
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
J Hand Surg Am. 2012 Aug;37(8):1718-25. doi: 10.1016/j.jhsa.2012.06.001. Epub 2012 Jul 3.
Despite the frequency of distal radius fractures, the optimal treatment remains without consensus opinion. A trend toward increased distal radius fracture open reduction and internal fixation has been identified, with biomechanical and clinical studies suggesting treatment advantages of certain fixation methods over others. Well-controlled patient trials are still missing to lend objective findings to management algorithms. This article reviews the literature over the past 5 years to guide our management regarding this common upper-extremity injury.
尽管桡骨远端骨折很常见,但最佳治疗方法仍未达成共识。已发现桡骨远端骨折切开复位内固定术有增加的趋势,生物力学和临床研究表明某些固定方法比其他方法具有治疗优势。目前仍缺乏严格对照的患者试验来为治疗方案提供客观依据。本文回顾了过去5年的文献,以指导我们对这种常见上肢损伤的处理。