Harper M C
Department of Orthopaedics and Rehailitation, Vanderbilt University School of Medicine, Nashville, TN 37232.
J Orthop Trauma. 1989;3(4):300-5. doi: 10.1097/00005131-198912000-00007.
A modified pins and plaster technique allowing early wrist motion for comminuted intraarticular fractures of the distal radius was used in 14 patients. At an average of 12 days after injury, hinges were applied and the cast sectioned at the wrist. Wrist motion, controlled by the amount and site of cast removal, was allowed thereafter. This relatively simple method appeared to maintain a satisfactory fracture reduction and be advantageous in avoiding wrist stiffness. Careful attention to detail regarding pin placement is recommended.
14例桡骨远端粉碎性关节内骨折患者采用改良的钢针石膏技术，该技术可使腕关节早期活动。受伤平均12天后，安装铰链并在腕部切断石膏。此后，根据石膏去除的量和部位控制腕关节活动。这种相对简单的方法似乎能维持满意的骨折复位，且有利于避免腕关节僵硬。建议在钢针放置方面要注意细节。
