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桡骨远端关节内骨折的治疗

Treatment of Intra-articular Distal Radius Fractures.

作者信息

Omokawa Shohei, Abe Yukio, Imatani Junya, Moritomo Hisao, Suzuki Daisuke, Onishi Tadanobu

机构信息

Department of Hand Surgery, Nara Medical University, 840 Shijyo-cho, Kashihara, Nara 634-8521, Japan.

Department of Orthopaedic Surgery, Saiseikai Shimonoseki General Hospital, 8-5-1 Yasuoka-cho, Shimonoseki, Yamaguchi 759-6603, Japan.

出版信息

Hand Clin. 2017 Aug;33(3):529-543. doi: 10.1016/j.hcl.2017.04.009.

Abstract

This review of current literature discusses the morphology of the volar aspect of the distal radius; the surgical procedure, arthroscopic findings, and clinical results of a plate presetting and arthroscopic reduction technique for acute intra-articular fractures; and a novel simulation guidance system for malunited intra-articular fractures. Classification of intra-articular distal radius fractures is also discussed, focusing on central depression fracture fragments, associated soft tissue injuries, and results for measuring scapholunate distances at different sites. Problems of the distal radioulnar joint are reviewed, in particular, functional outcomes of the authors' prospective cohort study on unstable intra-articular fractures involving the distal radioulnar joint.

摘要

本对当前文献的综述讨论了桡骨远端掌侧的形态;急性关节内骨折的钢板预设置和关节镜下复位技术的手术过程、关节镜检查结果及临床疗效;以及一种针对关节内骨折畸形愈合的新型模拟引导系统。还讨论了桡骨远端关节内骨折的分类,重点关注中央凹陷骨折块、相关软组织损伤以及在不同部位测量舟月间距的结果。回顾了桡尺远侧关节的问题,特别是作者对涉及桡尺远侧关节的不稳定关节内骨折的前瞻性队列研究的功能结局。

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