200 1st Street Southwest, Rochester, MN 55905, USA. Electronic address: https://twitter.com/NickPulosMD.
200 1st Street Southwest, Rochester, MN 55905, USA.
Hand Clin. 2021 May;37(2):267-278. doi: 10.1016/j.hcl.2021.02.009.
High-energy distal radius fractures frequently result in comminution with intra-articular fragmentation. Knowledge of predictable patterns of injury allows the surgeon to develop a preoperative plan for anatomic reduction and stable fixation of individual fragments that are too small or too distal to be fixed with standard volar locked plating. We review the column model, which organizes the distal radius into an intermediate column, radial column, and pedestal as the basis of a reconstructive algorithm and emphasize the importance of the volar ulnar fragment. Specific reduction and fixation techniques are described to assist the surgeon in treating these injuries.
高能桡骨远端骨折常导致粉碎性关节内骨折。了解可预测的损伤模式可以让外科医生在术前制定计划，以便对太小或太远端而无法用标准掌侧锁定板固定的单个骨折块进行解剖复位和稳定固定。我们回顾了桡骨远端的柱模型，将其分为中间柱、桡柱和基座，作为重建算法的基础，并强调了掌侧尺侧骨块的重要性。描述了具体的复位和固定技术，以帮助外科医生治疗这些损伤。
