Langenberg R
Unfallchirurg. 1989 Jan;92(1):1-5.
Between 1 January 1984 and 31 December 1986, 175 patients with a total of 178 distal radius fractures were treated conservatively in our department. An average of 25 months after the accidents, 124 patients with 126 fractures (71%) were re-examined. Wrist function was good or excellent in 52.4%, fair in 41.3% and bad in 6.3% of the patients studied. Anatomical results were slightly better, with the patients' subjective evaluation markedly better. The results are analysed and the causes of the unsatisfactory results pointed out. Thereafter, the indications for conservative treatment are discussed and a regimen presented. Conservative treatment alone is not justifiable.
1984年1月1日至1986年12月31日期间,我科对175例共178处桡骨远端骨折患者进行了保守治疗。事故发生平均25个月后,对124例患者的126处骨折(71%)进行了复查。在所研究的患者中,腕关节功能良好或优秀的占52.4%,一般的占41.3%,差的占6.3%。解剖学结果稍好一些,患者的主观评价明显更好。对结果进行了分析,并指出了结果不理想的原因。此后,讨论了保守治疗的适应证并提出了治疗方案。单纯的保守治疗是不合理的。