Kaukonen J P, Karaharju E O, Porras M, Lüthje P, Jakobsson A
Department of Orthopaedics and Traumatology, University Central Hospital, Helsinki, Finland.
Ann Chir Gynaecol. 1988;77(1):27-31.
Functional recovery of the wrist and hand after a fracture of the distal forearm in 207 consecutive patients was analysed. A good or excellent result was achieved in 77 percent, fair in 22.5 percent and poor in 0.5 percent of cases. The result in 14 unstable fractures treated with external fixation was as good as that of the whole series. Good functional results were associated with extra-articular fractures, good anatomical results, male sex and low age. Comminuted intra-articular fractures of the radiocarpal joint, fracture line into the distal radio-ulnar joint, fracture of the ulnar styloid and a poor anatomical result in addition to high age contributed to a poor result.
对连续207例前臂远端骨折患者手腕和手部的功能恢复情况进行了分析。77%的病例获得了良好或优异的结果，22.5%的结果为中等，0.5%的结果较差。14例采用外固定治疗的不稳定骨折的结果与整个系列的结果一样好。良好的功能结果与关节外骨折、良好的解剖复位、男性性别和低年龄相关。桡腕关节粉碎性关节内骨折、骨折线累及远侧桡尺关节、尺骨茎突骨折、解剖复位不佳以及高龄导致了较差的结果。
