Senehi Rebecca, Luo Tyani D, Marquez-Lara Alejandro, Aneja Arun, Beard Hoyt R, Carroll Eben A
*Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC; and †Department of Orthopaedic Surgery, University of Kentucky, Lexington, KY.
J Orthop Trauma. 2017 Aug;31 Suppl 3:S39-S41. doi: 10.1097/BOT.0000000000000904.
Management of intraarticular distal radius fractures requires precise reconstruction of the articular surface to optimize outcomes. Treatment goals also include restoration of alignment, rotation, and angulation in both the coronal and sagittal planes of the metaphyseal component of these fractures. Surgical management with open reduction and internal fixation with a volar plate is often the preferred method of open treatment. However, a variety of different techniques have been described, and the preferred technique may be determined on an individual basis by the fracture characteristics, patient-dependent factors, or surgeon experience.
桡骨远端关节内骨折的治疗需要精确重建关节面以优化治疗效果。治疗目标还包括恢复这些骨折干骺端部分在冠状面和矢状面的对线、旋转和角度。采用掌侧钢板切开复位内固定的手术治疗通常是开放性治疗的首选方法。然而,已经描述了多种不同的技术,并且首选技术可能根据骨折特征、患者相关因素或外科医生经验进行个体化确定。