Keuchel-Strobl Tina, Quadlbauer S, Jurkowitsch J, Rosenauer R, Hausner T, Leixnering M, Pezzei Ch
AUVA Trauma Hospital Lorenz Böhler - European Hand Trauma Center, Donaueschingenstrasse 13, 1200, Vienna, Austria.
Ludwig Boltzmann Institute for Experimental und Clinical Traumatology, AUVA Research Center, 1200, Vienna, Austria.
Arch Orthop Trauma Surg. 2020 May;140(5):697-705. doi: 10.1007/s00402-020-03369-8. Epub 2020 Mar 19.
Indications for surgical treatment of distal radius fractures (DRF) remain controversial in the literature, especially in elderly patients. Complication rates after operatively treated DRF are low and well documented. These include malunion, degenerative osteoarthritis in the radiocarpal joint and subsequently pain and impaired hand function. If conservative treatment fails then salvage procedures are necessary. This review summarizes the therapeutic options available to treat degenerative osteoarthritis after malunited distal radius fractures, regardless of the initial operative or conservative treatment.
桡骨远端骨折（DRF）手术治疗的适应症在文献中仍存在争议，尤其是在老年患者中。手术治疗DRF后的并发症发生率较低且记录详实。这些并发症包括畸形愈合、桡腕关节退行性骨关节炎以及随之而来的疼痛和手部功能受损。如果保守治疗失败，则需要采取挽救措施。本综述总结了治疗桡骨远端骨折畸形愈合后退行性骨关节炎的可用治疗方案，无论最初采用的是手术治疗还是保守治疗。
