Vanhaecke J, Fernandez D L
Department of Orthopaedic Surgery, Hand Surgery, AZ Groeninge, Campus Loofstraat, Loofstraat 43, 8500 Kortrijk, Belgium.
Department of Orthopaedic Surgery, Lindenhof Hospital, Bern, Switzerland.
Injury. 2015 Nov;46 Suppl 5:S33-6. doi: 10.1016/j.injury.2015.08.010. Epub 2015 Aug 28.
Volar plating has become the standard of care for most distal radius fractures. When done for the right indication and with adequate mastering of the technique complication ratio is low. The concept of subchondral support is key in this technique. Osteoporotic patients will especially benefit from this type of fixation which allows early immobilization, quick return to activities of daily living and early good outcome.
掌侧钢板固定已成为大多数桡骨远端骨折的标准治疗方法。当适应证选择正确且技术掌握得当时,并发症发生率较低。软骨下支撑的概念是该技术的关键。骨质疏松患者尤其能从这种固定方式中获益,它能实现早期固定,使患者快速恢复日常生活活动,并能早期获得良好疗效。