Shah H, Chavali V, Daveshwar R
Department of Orthopaedics, Government Medical College, Baroda, India.
Malays Orthop J. 2015 Jul;9(2):47-50. doi: 10.5704/MOJ.1507.014.
The objective of the study was to assess the outcome of Salter- Harris type III distal radius fracture fixed using the principle of buttressing and avoiding screw insertion through the physis.
Eight school going children in the age group of 11-16 years with volar Barton fractures were treated with a volar plate using the buttress principle without inserting screws in the distal fragment. Patients were evaluated over a period of 18 months. Clinical evaluation was done using the Green O'Brien criteria and radiological evaluation using the Sarmiento criteria.
The average union time was two months. All the patients had good to excellent functional outcome with full extension and flexion.
Buttress plating of volar Barton fractures in the adolescent age group is an excellent technique to achieve satisfactory outcome without violation of the physis.
本研究的目的是评估采用支撑原则并避免螺钉穿过骨骺插入来固定桡骨远端Salter-Harris III型骨折的疗效。
对8名年龄在11至16岁的患有掌侧Barton骨折的在校儿童，采用支撑原则使用掌侧钢板进行治疗，远端骨折块不插入螺钉。对患者进行了18个月的评估。临床评估采用Green O'Brien标准，放射学评估采用Sarmiento标准。
平均愈合时间为两个月。所有患者的功能结局均为良好至优秀，屈伸功能完全恢复。
对青少年年龄组的掌侧Barton骨折进行支撑钢板固定是一种在不侵犯骨骺的情况下获得满意疗效的优秀技术。
