Kaukonen J P, Porras M, Karaharju E
Department of Orthopaedics and Traumatology, University Central Hospital, Helsinki, Finland.
Ann Chir Gynaecol. 1988;77(1):21-6.
A radiological evaluation of 207 fractures of the distal forearm was performed. 91.5% of the fractures were of Colles' type. Almost 60% of them were intra-articular. A practical classification of Colles' fractures according to intra-articular fracture lines was shown to be useful in assessing the severity of these fractures. It correlated well with the shortening of the radius and the amount of dorsal tilt of the fractured wrist. It also seemed to predict the tendency for worsening of the position during treatment. An impairment of the position was noticed in more than 60% of cases. The anatomical result was evaluated as good or excellent in 60% of cases. Women seemed to have slightly better results. In age groups 35-44 and 45-54 years, the outcome was somewhat worse.
对207例前臂远端骨折进行了影像学评估。91.5%的骨折为科雷氏骨折类型。其中近60%为关节内骨折。根据关节内骨折线对科雷氏骨折进行的实用分类在评估这些骨折的严重程度方面很有用。它与桡骨缩短和骨折腕关节背倾程度密切相关。它似乎也能预测治疗过程中位置恶化的趋势。超过60%的病例出现了位置受损。60%的病例解剖结果评估为良好或优秀。女性的结果似乎略好。在35 - 44岁和45 - 54岁年龄组中，结果稍差。
