Department of Orthopaedics, Division of Plastic Surgery, Emory School of Medicine, Atlanta Veteran Affairs Hospital, Grady Memorial Hospital, Morehouse School of Medicine, 59 Executive Park Drive South, Atlanta, GA 30329, USA.
Department of Orthopaedics, Division of Plastic Surgery, Emory School of Medicine, Grady Memorial Hospital, Morehouse School of Medicine, 59 Executive Park Drive South, Atlanta, GA 30329, USA; Emory Orthopaedics and Spine Center, 59 Executive Park Drive South, Atlanta, GA 30329, USA.
Hand Clin. 2021 May;37(2):247-258. doi: 10.1016/j.hcl.2021.02.007.
Distal radius fractures are the most common upper extremity fracture that present to US emergency departments. Given the variable presentation, including age and fracture pattern, there are many techniques that have been utilized to treat them. Closed reduction and percutaneous pin (CRPP) fixation remains a viable option in extra-articular and simple intra-articular fracture patterns. CRPP techniques flourished in the mid-twentieth century until the treatment patterns shifted to primarily volar-locked plating in the twenty-first century. Although several meta-analyses have been performed comparing outcomes and complications of CRPP versus alternative methods, controversy remains over which treatments are superior.
桡骨远端骨折是最常见的上肢骨折,也是美国急诊部门最常见的骨折类型。由于其表现形式多样,包括年龄和骨折类型,因此有许多技术可用于治疗。闭合复位经皮钢针(CRPP)固定仍然是治疗关节外和简单关节内骨折类型的可行选择。CRPP 技术在 20 世纪中期蓬勃发展,直到 21 世纪治疗模式主要转向掌侧锁定钢板。尽管已经进行了几项荟萃分析比较了 CRPP 与其他方法的结果和并发症,但对于哪种治疗方法更优仍存在争议。