Leung K S, Shen W Y, Tsang H K, Chiu K H, Leung P C, Hung L K
Department of Orthopaedics and Traumatology, Faculty of Medicine, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin.
J Hand Surg Am. 1990 Jan;15(1):11-7. doi: 10.1016/s0363-5023(09)91098-x.
One hundred cases of comminuted fracture of the distal radius were treated by a simple uniform method consisting of distraction by an external fixator for 3 weeks followed by functional bracing. During the application of the external fixator, autogenous cancellous bone chips were taken from the iliac crest and packed into the fracture site to realign the juxtaarticular fragments and to fill up the bone gap. Complications have been minimal. The results, after an average follow-up period of 20 months, taking into consideration subjective assessment of pain, objective measurement of wrist motion, and radiologic angles, have been excellent.
100例桡骨远端粉碎性骨折采用一种简单统一的方法治疗，即使用外固定器牵引3周，随后进行功能性支具固定。在外固定器应用期间，取自髂嵴的自体松质骨碎片被植入骨折部位，以重新对齐关节周围骨折块并填充骨间隙。并发症极少。平均随访20个月后，综合疼痛的主观评估、腕关节活动度的客观测量以及影像学角度来看，结果非常理想。
