Tan Kelvin Guoping, Chew Winston Yoon Chong
Department of Orthopedic Surgery, Tan Tock Seng Hospital, Singapore.
Hand Surg. 2013;18(3):331-6. doi: 10.1142/S0218810413500354.
The purpose of this study is to highlight a cohort of patients with a comminuted volar shearing type of distal radius fractures (AO B3.3) with the volar ulnar fragment that is prone to re-displace, resulting in volar subluxation of the radiocarpal joint. We report our experience with two such patients with re-displacement of the fragment and joint requiring repeat surgery; one of whom required a third procedure to stabilize that fragment. Three subsequent patients were successfully treated with one surgery when particular attention was paid to stabilize the volar ulnar fragment. This highlights the importance of stabilizing this fragment at the primary procedure.
本研究的目的是强调一组患有桡骨远端粉碎性掌侧剪切型骨折（AO B3.3）的患者，其掌侧尺骨碎片容易再次移位，导致桡腕关节掌侧半脱位。我们报告了两例此类患者的经验，其碎片和关节再次移位需要再次手术；其中一例需要进行第三次手术来稳定该碎片。随后的三名患者在特别注意稳定掌侧尺骨碎片的情况下，一次手术即成功治愈。这突出了在初次手术时稳定该碎片的重要性。
