Melone C P
Clin Orthop Relat Res. 1986 Jan(202):103-11.
Fifteen patients with severely displaced Type 4 articular fractures of the distal radius required open treatment for the reduction and fixation of disrupted articular surfaces and for the repair of associated nerve, tendon, or arterial injuries. These patients were predominantly young men whose wrists had been exposed to violent compression forces. Five cases were rated excellent, nine good, and one fair according to the McBride and Lidström systems of evaluation. In this study, distal radial fractures with wide displacement or rotation of the articular surfaces were treated by prompt and precise repair of skeletal and soft tissue damage.
15例桡骨远端4型关节内骨折严重移位患者，因关节面破坏需切开复位固定以及修复相关神经、肌腱或动脉损伤而接受手术治疗。这些患者主要为年轻男性，其手腕遭受了暴力挤压伤。根据麦克布赖德（McBride）和利德斯特伦（Lidström）评估系统，5例评为优，9例评为良，1例评为中。本研究中，对于关节面有明显移位或旋转的桡骨远端骨折，通过迅速而精确地修复骨骼和软组织损伤进行治疗。
