Hackenbruch W
Z Unfallchir Versicherungsmed Berufskr. 1989;82(2):93-8.
Normally, the distal forearm fracture is treated conservatively. The classic conservative therapy mostly obtains good results. Certain fracture-types cannot expect a good result for a long time by the treatment of conservative measures. So, they should be recommended to an operative therapy. In addition to the classical osteosynthesis the external fixator is currently used. The principle of the joint-reconciling fixator can be realized in many ways. Of common use is the small fixator of the AO and also the tube fixator is described in the literature. A real alternative to both treatments is the small extension machine of Wagner. This method has nearly been forgotten in the clinical training. We are talking in a few pages about our experiences and the advantages of that measures.
通常情况下，前臂远端骨折采用保守治疗。经典的保守疗法大多能取得良好效果。某些骨折类型通过保守治疗措施在很长一段时间内无法取得良好效果。因此，应建议对其进行手术治疗。除了经典的骨固定术外，目前还使用外固定器。关节复位固定器的原理可以通过多种方式实现。常用的是AO小型固定器，文献中也描述了管形固定器。这两种治疗方法的一个真正替代方案是瓦格纳小型伸展器。这种方法在临床培训中几乎已被遗忘。我们将在几页篇幅中讲述我们的经验以及该措施的优点。
