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桡骨远端骨折的早期移位

Early displacement of distal radius fracture.

作者信息

Solgaard S

出版信息

Acta Orthop Scand. 1986 Jun;57(3):229-31. doi: 10.3109/17453678608994383.

DOI:10.3109/17453678608994383
PMID:3739663
Abstract

In a retrospective series of 269 patients with distal radius fracture, initially undisplaced fractures (Older Type 1) had a good radiographical prognosis, whereas the more comminuted fractures showed increasing shortening until union, averaging 8 mm. Secondary displacement most often occurred during the first 2 weeks of immobilization, indicating that the radiographical control should be performed at that time. Reduction and fixation with plaster of the severely displaced Type 3 and 4 fractures never led to a satisfying radiographical end-result. Therefore, alternative methods of fixation should be considered in these fractures.

摘要

在一项对269例桡骨远端骨折患者的回顾性研究中,最初无移位的骨折(奥尔德1型)具有良好的影像学预后,而粉碎性骨折在愈合前缩短程度逐渐增加,平均缩短8毫米。二次移位最常发生在固定的前2周,这表明应在此时进行影像学检查。对严重移位的3型和4型骨折采用石膏复位固定,从未获得令人满意的影像学最终结果。因此,对于这些骨折应考虑采用其他固定方法。

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