科雷氏骨折的外固定
External fixation of Colles' fracture.
作者信息
Kaukonen J P, Karaharju E, Lüthje P, Porras M
机构信息
Department of Orthopedics and Traumatology, University Central Hospital, Helsinki, Finland.
出版信息
Acta Orthop Scand. 1989 Feb;60(1):54-6. doi: 10.3109/17453678909150092.
Radiographic and functional results of external fixation of 32 Colles' fractures were compared with the results of plaster fixation of 189 Colles' fractures. Despite the fact that the fractures treated with the external device were more unstable and comminuted, the final results were equal in both groups, and the radiographic outcome of external fixation was superior. Pin loosening decreased with predrilling rather than self-tapping. We recommend external fixation for unstable fractures of the distal forearm.
将32例Colles骨折外固定的影像学和功能结果与189例Colles骨折石膏固定的结果进行了比较。尽管使用外固定装置治疗的骨折更不稳定且粉碎程度更高，但两组的最终结果相同，且外固定的影像学结果更优。预钻孔而非自攻丝可减少钢针松动。我们建议对前臂远端不稳定骨折采用外固定。
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