Johnson Nick A, Dias Joseph
1 Academic Team of Musculoskeletal Surgery, Leicester General Hospital, Leicester, UK.
2 Pulvertaft Hand Unit, Royal Derby Hospital, Derby, UK.
J Hand Surg Eur Vol. 2019 Jun;44(5):450-455. doi: 10.1177/1753193419843201. Epub 2019 Apr 16.
Distal radial fractures are extremely common injuries, yet many basic questions remain unanswered about their optimum management. Recently in the United Kingdom several guideline development groups have produced national standards and best-practice guidelines based on review of the best available evidence and expert knowledge. All guideline groups agree that when surgery is needed for dorsally displaced distal radial fractures, that can be reduced closed, K-wire fixation and cast immobilization, should be offered. Further research questions have been identified. The important findings and recommendations are summarized in this article.
桡骨远端骨折是极为常见的损伤，但关于其最佳治疗仍有许多基本问题尚未得到解答。最近在英国，几个指南制定小组在对现有最佳证据和专家知识进行审查的基础上制定了国家标准和最佳实践指南。所有指南小组都一致认为，对于背侧移位的桡骨远端骨折，如果需要手术治疗，应采用闭合复位、克氏针固定和石膏固定。进一步的研究问题已经确定。本文总结了重要的研究结果和建议。
