Fayaz H C, Jupiter J B
Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.
Handchir Mikrochir Plast Chir. 2014 Feb;46(1):31-3. doi: 10.1055/s-0034-1367035. Epub 2014 Feb 26.
While diaphyseal fractures of the forearm are a common orthopedic injury, Galeazzi fractures are difficult to treat. The current knowledge on pathobiomechanics and modified therapeutic decisions implicate the need to devise an updated classification and treatment regimen of Galeazzi fractures. We challenge the concept that isolated fractures of the radius should be considered as a Galeazzi fractures as long as stability of the distal radioulnar joint is not proven. Contrary to others we demonstrate that the fracture location alone is not sufficient to determine the stability of the distal radioulnar joint.
虽然前臂骨干骨折是常见的骨科损伤,但盖氏骨折很难治疗。目前关于病理生物力学的知识以及改良的治疗决策表明,有必要设计一种更新的盖氏骨折分类和治疗方案。我们对这样一种观念提出质疑,即只要桡尺远侧关节的稳定性未得到证实,孤立的桡骨骨折就应被视为盖氏骨折。与其他人的观点相反,我们证明仅骨折部位不足以确定桡尺远侧关节的稳定性。