Lindau Tommy
Pulvertaft Hand Centre, University of Derby, Uttoxeter Road, Derby DE22 3SN, UK.
Hand Clin. 2017 Nov;33(4):651-658. doi: 10.1016/j.hcl.2017.07.015.
The best outcome in distal radius fractures is achieved if anatomy is restored, in particular the intra-articular congruity. This is achieved partly with improved fixation, such as using volar locking plates, and partly by using an arthroscopy-assisted reduction and fixation technique. In addition to improving the intra-articular congruity, associated ligament and chondral injuries can be detected and treated. This article outlines various associated injuries with suggested management in a stepwise fashion. It is hoped that overall outcomes will be improved once patient-related and treatment-related factors have been evaluated and previously undetected associated ligament injuries have been found and treated.
如果能恢复解剖结构，尤其是关节内的一致性，桡骨远端骨折就能取得最佳治疗效果。这部分通过改进固定方式来实现，比如使用掌侧锁定钢板，部分则通过关节镜辅助复位和固定技术来达成。除了改善关节内的一致性外，还能检测并治疗相关的韧带和软骨损伤。本文逐步概述了各种相关损伤及建议的处理方法。希望在评估了与患者相关和与治疗相关的因素，并发现和治疗了先前未被检测到的相关韧带损伤后，整体治疗效果能得到改善。
