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桡骨远端骨折后进行矫正截骨术以恢复腕关节、前臂和手部的功能。

Corrective osteotomy of the distal radius after fracture to restore the function of wrist joint, forearm, and hand.

作者信息

Roesgen M, Hierholzer G

机构信息

Berufsgenossenschaftliche Unfallklinik Duisburg-Buchholz, Federal Republic of Germany.

出版信息

Arch Orthop Trauma Surg (1978). 1988;107(5):301-8. doi: 10.1007/BF00451511.

DOI:10.1007/BF00451511
PMID:2460067
Abstract

Eighty-two patients suffering from a severe deformity of the distal radius were operated on in the course of the past 7 years. The corrective osteotomy was done by implanting a corticocancellous bone graft to restore the correct angle of the joint surface and the correct length of the radius. In addition to this, a buttress T-plate was used, which could be removed 6 months later. In 80% of the cases the results with regard to the function of the patients' hands were good. The operative technique is standardized. It is possible to perform this kind of operation on patients of any age, and the procedure can check Sudeck's atrophy. When the obvious disability of the forearm is corrected the mobility of the wrist joint is simultaneously improved.

摘要

在过去7年中,对82例患有严重桡骨远端畸形的患者进行了手术。通过植入皮质松质骨移植来进行矫正截骨术,以恢复关节面的正确角度和桡骨的正确长度。除此之外,还使用了一种支撑T形钢板,6个月后可以取出。80%的病例中,患者手部功能的恢复情况良好。手术技术是标准化的。对任何年龄的患者都可以进行这种手术,并且该手术可以抑制苏戴克萎缩。当前臂明显的功能障碍得到矫正时,腕关节的活动度会同时得到改善。

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Corrective osteotomy of the distal radius after fracture to restore the function of wrist joint, forearm, and hand.桡骨远端骨折后进行矫正截骨术以恢复腕关节、前臂和手部的功能。
Arch Orthop Trauma Surg (1978). 1988;107(5):301-8. doi: 10.1007/BF00451511.
2
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J Wrist Surg. 2013 Feb;2(1):49-54. doi: 10.1055/s-0032-1326725.
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Corrective osteotomy of the malunited distal radius fracture: use of periosteal bed may reduce the extent of postoperative graft resorption.陈旧性桡骨远端骨折的矫正性截骨术:使用骨膜床可能会减少术后植骨吸收的程度。
Int Orthop. 2010 Apr;34(4):525-9. doi: 10.1007/s00264-009-0823-0. Epub 2009 Jun 16.

本文引用的文献

1
Rupture of digital extensor tendons following distal ulnar resection.
J Bone Joint Surg Am. 1982 Feb;64(2):178-82.
2
Correction of post-traumatic wrist deformity in adults by osteotomy, bone-grafting, and internal fixation.
J Bone Joint Surg Am. 1982 Oct;64(8):1164-78.
3
Articular fractures of the distal radius.桡骨远端关节内骨折。
Orthop Clin North Am. 1984 Apr;15(2):217-36.
4
[Posttraumatic club-hand. Therapeutic problems (apropos of 5 cases)].
[创伤后畸形手。治疗问题(关于5例病例)]
Rev Chir Orthop Reparatrice Appar Mot. 1982;68(5):333-41.
5
Traumatic instability of the wrist. Diagnosis, classification, and pathomechanics.腕部创伤性不稳定。诊断、分类及病理力学
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Radiography and computerized tomography in the diagnosis of incongruity of the distal radio-ulnar joint. A prospective study.
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[A new technic for the correction of malunited distal radius fractures].[一种用于矫正桡骨远端骨折畸形愈合的新技术]
Handchirurgie. 1976;8(4):203-6.
8
[Osteotomy in shortening of the ulna in sequelae of Pouteau-Colles fractures].[波泰-科莱斯骨折后遗症中尺骨缩短截骨术]
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9
[Operative correction of malunion of distal fractures of the radius (author's transl)].桡骨远端骨折畸形愈合的手术矫正(作者译)
Unfallheilkunde. 1979 Jan;82(1):23-8.