Tiren D, Vos D I
Department of General and Trauma Surgery, Amphia Hospital, Postbus 90158, 4800 RK, Breda, The Netherlands,
Strategies Trauma Limb Reconstr. 2014 Apr;9(1):53-8. doi: 10.1007/s11751-014-0190-2. Epub 2014 Mar 8.
The purpose of this study was to evaluate the results of our correction osteotomies of distal radial malunions without a bone graft. Eleven consecutive patients (mean age 52 years, range 18-71) were treated. A dorsal approach was utilised to perform an opening-wedge osteotomy which then was stabilised with two dorsal columnar plates without filling the osteotomy gap. All patients went on to radiographic union with a filling of the osteotomy gap within a mean period of 3 months (range 2-6 months). All patients had satisfactory results in terms of function and pain. Correction osteotomy and stabilisation with bicolumnar locked plate fixation without a bone graft provides sufficient stability to allow the highly vascularised metaphysis to heal. In patients without risk factors predisposing to non-union, this procedure is safe and feasible.
本研究的目的是评估我们在不植骨情况下对桡骨远端畸形愈合进行截骨矫正的结果。连续治疗了11例患者（平均年龄52岁，范围18 - 71岁）。采用背侧入路进行开放楔形截骨，然后用两块背侧柱状钢板固定，不填充截骨间隙。所有患者均实现影像学愈合，截骨间隙平均在3个月（范围2 - 6个月）内填充。所有患者在功能和疼痛方面均取得满意结果。采用双柱锁定钢板固定进行截骨矫正和稳定而不植骨，可提供足够的稳定性，使血运丰富的干骺端得以愈合。对于没有不愈合危险因素的患者，该手术安全可行。
