van Raay J J, Boot C, Oostvogel H J, van der Werken C
St. Elisabeth Ziekenhuis, afd. Heelkunde, Tilburg.
Ned Tijdschr Geneeskd. 1990 Aug 18;134(33):1607-11.
The results of external fixation of 66 unstable distal radial fractures were evaluated. In the majority, the radiological results were excellent or good. There was a clear correlation between an excellent or good clinical score and the subsequent radiological result. Upper limb dystrophy which caused a considerable morbidity was found in every third patient. Unstable distal radial fractures with severe initial displacement predispose to reflex dystrophy. External fixation obviously cannot prevent this severe complication, it is even possible that tension on soft tissues, capsules and ligaments caused by ligamentotaxis might induce reflex dystrophy. Therefore, the indication for using external fixation of unstable distal radial fractures has to be defined with due caution.
对66例桡骨远端不稳定骨折的外固定结果进行了评估。大多数情况下，放射学结果为优或良。临床评分优或良与随后的放射学结果之间存在明显的相关性。每三分之一的患者中发现有导致相当发病率的上肢营养不良。初始移位严重的桡骨远端不稳定骨折易发生反射性交感神经营养不良。外固定显然无法预防这种严重并发症，甚至有可能牵张成骨引起的软组织、关节囊和韧带张力会诱发反射性交感神经营养不良。因此，必须谨慎确定桡骨远端不稳定骨折外固定的适应证。
