Rubin Guy, Orbach Hagay, Chezar Avi, Rozen Nimrod
Orthopedic Department, Emek Medical Center, Afula, Israel.
Faculty of Medicine, Technion, Haifa, Israel.
Arch Orthop Trauma Surg. 2017 Jan;137(1):49-54. doi: 10.1007/s00402-016-2592-8. Epub 2016 Nov 8.
Distal radial physeal fractures with volar displacement are rare. Several methods of operative treatment include volar plate without inserting distal screws, percutaneous technique using two anterior skin incisions and reversed Kapandji technique with pins introduced through a posterior approach and locked at the anterior cortex of the fracture.
We report three cases along with a literature review of the surgical techniques described in the past and a novel surgical technique for this uncommon fracture termed "Volar Kapandji".
All patients had anatomic reduction at the last follow-up radiography, and all patients had a full range of motion and VAS 0 at the last follow-up. No complications were recorded.
This case study presents the minimally invasive option for treating rare cases of physeal distal radius fractures with volar displacement.
V.
伴有掌侧移位的桡骨远端骨骺骨折较为罕见。几种手术治疗方法包括不植入远端螺钉的掌侧钢板、采用两个前侧皮肤切口的经皮技术以及通过后侧入路插入钢针并锁定在骨折前侧皮质的改良卡潘迪技术。
我们报告了三例病例，并对过去描述的手术技术进行了文献综述，以及一种针对这种罕见骨折的新型手术技术，称为“掌侧卡潘迪技术”。
所有患者在末次随访X线检查时均获得解剖复位，且所有患者在末次随访时均有全范围活动且视觉模拟评分（VAS）为0。未记录到并发症。
本病例研究展示了治疗伴有掌侧移位的罕见桡骨远端骨骺骨折病例的微创选择。
V级。
