Schmalholz A
Department of Orthopaedics, Södersjukhuset, Stockholm, Sweden.
Clin Orthop Relat Res. 1990 May(254):236-41.
In a prospective investigation in 1984 and 1985, all Colles' fractures (not comminuted or intraarticular) that redisplaced after two closed reductions were allocated at random to one of two groups: Group I (n = 23), in which the dorsal bone deficiency was filled with bone cement (methylmethacrylate), and Group II (n = 25), in which the fracture was treated with external fixation. All were followed for one year and examined with respect to anatomy of the fracture, wrist movement, strength, appearance, pain, function, and complications. Roentgenograms, 12 months after treatment, showed that all fractures had healed and that the cement was enveloped in cortical bone. The final results were equal in the two groups, but Group I improved earlier and had no complications.
在1984年和1985年的一项前瞻性研究中，所有经两次闭合复位后再移位的科雷氏骨折（非粉碎性或关节内骨折）被随机分为两组：第一组（n = 23），用骨水泥（甲基丙烯酸甲酯）填充背侧骨缺损；第二组（n = 25），采用外固定治疗骨折。所有患者均随访一年，并就骨折解剖结构、腕关节活动、力量、外观、疼痛、功能及并发症进行检查。治疗12个月后的X线片显示，所有骨折均已愈合，且骨水泥被皮质骨包裹。两组最终结果相同，但第一组改善更早且无并发症。
