Leung K S, Shen W Y, Leung P C, Kinninmonth A W, Chang J C, Chan G P
Chinese University of Hong Kong, Prince of Wales Hospital, Department of Orthopaedics & Traumatology, Shatin, N.T.
J Bone Joint Surg Br. 1989 Nov;71(5):838-42. doi: 10.1302/0301-620X.71B5.2584256.
The conventional treatment of comminuted fractures in the distal radius has been unsatisfactory. We therefore made a prospective study using the principle of ligamentotoxis and primary cancellous bone grafting as the uniform method of treatment. Ligamentotaxis was maintained by using an external fixator for three weeks only, after which a carefully monitored programme of rehabilitation was given. We have reviewed 72 consecutive distal radial fractures after a follow-up of 7 to 40 months (average 11 months). Reduction had been maintained during healing and over 80% of patients regained full range of movement in hands, wrists and forearms with strong and pain-free wrist function. Complications were infrequent and gave no real problems. We conclude that distraction, external fixation and bone grafting appears to be an excellent method of treating comminuted fractures of the distal radius.
桡骨远端粉碎性骨折的传统治疗方法一直不尽人意。因此，我们采用韧带牵引原理和一期松质骨移植作为统一的治疗方法进行了一项前瞻性研究。仅使用外固定器维持韧带牵引三周，之后给予精心监测的康复计划。在随访7至40个月（平均11个月）后，我们对72例连续的桡骨远端骨折进行了回顾。在愈合过程中复位得以维持，超过80%的患者手部、腕部和前臂恢复了全范围活动，腕部功能强劲且无痛。并发症很少，没有造成实际问题。我们得出结论，牵引、外固定和植骨似乎是治疗桡骨远端粉碎性骨折的一种极佳方法。
