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关节镜辅助治疗桡骨远端骨折及合并损伤。

Arthroscopic assisted treatment of distal radius fractures and concomitant injuries.

作者信息

Kastenberger Tobias, Kaiser Peter, Schmidle Gernot, Schwendinger Peter, Gabl Markus, Arora Rohit

机构信息

Department of Trauma Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Department for Trauma Surgery and Sports Traumatology, Academic Hospital Feldkirch, Carinagasse 47, 6800, Feldkirch, Austria.

出版信息

Arch Orthop Trauma Surg. 2020 May;140(5):623-638. doi: 10.1007/s00402-020-03373-y. Epub 2020 Mar 19.

DOI:10.1007/s00402-020-03373-y
PMID:32193675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7181439/
Abstract

Wrist arthroscopy is mainly used to assist fracture reduction and fixation and to diagnose and treat concomitant injuries mainly to the scapholunate (SL), lunotriquetral (LT) ligament and the triangular fibrocartilage complex (TFCC). Arthroscopy is beneficial in improving anatomical reduction of fracture steps and gaps in intra-articular distal radius fractures (DRFs). Yet, the literature that the functional outcome correlates with the use of arthroscopy, is limited. Non-surgical treatment and immobilization is recommended for Geissler grade I-III Sl-ligament injuries, while open reduction, ligament suture and/or K-wire pinning is mandatory for complete ligament tears according to Geissler grade IV. This manuscript describes the current literature and gives insight into the authors' opinions and practice.

摘要

腕关节镜检查主要用于辅助骨折复位和固定，以及诊断和治疗主要累及舟月（SL）、月三角（LT）韧带和三角纤维软骨复合体（TFCC）的合并伤。关节镜检查有助于改善桡骨远端关节内骨折（DRF）的骨折台阶和间隙的解剖复位。然而，关于功能结果与关节镜使用相关的文献有限。对于Geissler I-III级SL韧带损伤，建议采用非手术治疗和固定，而根据Geissler IV级，对于完全韧带撕裂则必须进行切开复位、韧带缝合和/或克氏针固定。本文描述了当前的文献，并深入探讨了作者的观点和实践。

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Arch Orthop Trauma Surg. 2018 Dec;138(12):1773-1782. doi: 10.1007/s00402-018-3051-5. Epub 2018 Oct 19.
10
Prevalence of posttraumatic arthritis following distal radius fractures in non-osteoporotic patients and the association with radiological measurements, clinician and patient-reported outcomes.非骨质疏松性患者桡骨远端骨折后创伤后关节炎的患病率及其与放射学测量、临床医生和患者报告结局的关联。
Arch Orthop Trauma Surg. 2018 Dec;138(12):1699-1712. doi: 10.1007/s00402-018-3046-2. Epub 2018 Oct 13.