Hyatt Brad T, Hanel Douglas P, Saucedo James M
Department of Orthopaedics, Wright-Patterson Medical Center, Dayton, OH.
Department of Orthopedics and Sports Medicine, University of Washington Medical Center, Seattle, WA.
J Hand Surg Am. 2019 Jun;44(6):507-513. doi: 10.1016/j.jhsa.2018.08.014. Epub 2018 Oct 23.
Bridge plate fixation has traditionally been described for the treatment of high-energy distal radius fractures with extensive comminution, associated instability, and polytrauma with the need for immediate upper extremity assisted weight bearing. Certain patient populations who may similarly benefit from such effective and expedient stabilization include patients with multiple comorbidities who may have lower-energy fractures, poor bone quality, and a baseline reliance on ambulatory assist devices. This article reviews treatment considerations for distal radius fractures in low-demand patients and explores the rationale and technique of bridge plate fixation in this population.
传统上,桥接钢板固定术用于治疗伴有广泛粉碎、相关不稳定以及多发伤且需要立即进行上肢辅助负重的高能桡骨远端骨折。某些可能同样受益于这种有效且便捷的稳定固定的患者群体包括患有多种合并症的患者,这些患者可能发生低能量骨折、骨质较差且基线时依赖步行辅助装置。本文回顾了低需求患者桡骨远端骨折的治疗注意事项,并探讨了该人群桥接钢板固定术的原理和技术。