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腕部骨折治疗中外固定架的最新进展。

Update on external fixators in the treatment of wrist fractures.

作者信息

Foster D E, Kopta J A

出版信息

Clin Orthop Relat Res. 1986 Mar(204):177-83.

PMID:3956008
Abstract

Fifty fractures of the distal radius in 49 patients were treated by either a Roger Anderson device or a Hoffman C-series external fixator. The radiographic and clinical results were evaluated for comparison of the use of the two fixators. The follow-up period for the entire group averaged 15.9 months. For 12 patients personally examined and 12 returning a questionnaire, the follow-up period averaged 27.7 months. The Hoffman fixator and Roger Anderson device gave predictably good results in the treatment of comminuted intra-articular fractures of the distal radius when used in the active age group. Neither was found to yield superior functional results over the other, although the Hoffman fixator had a more rigid configuration. Serious complications may result from the use of external fixators, but these can be minimized by proper technique and care.

摘要

49例患者的50处桡骨远端骨折采用Roger Anderson器械或Hoffman C系列外固定架治疗。对影像学和临床结果进行评估,以比较两种固定架的使用情况。整个组的随访期平均为15.9个月。对于12例接受亲自检查和12例返回问卷的患者,随访期平均为27.7个月。当用于活跃年龄组时,Hoffman固定架和Roger Anderson器械在治疗桡骨远端粉碎性关节内骨折方面均取得了可预见的良好效果。尽管Hoffman固定架结构更坚固,但未发现其中一种在功能结果上优于另一种。使用外固定架可能会导致严重并发症,但通过适当的技术和护理可以将这些并发症降至最低。

相似文献

1
Update on external fixators in the treatment of wrist fractures.腕部骨折治疗中外固定架的最新进展。
Clin Orthop Relat Res. 1986 Mar(204):177-83.
2
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Orthop Rev. 1990 Sep;19(9):790-6.

引用本文的文献

1
Displaced distal radius fractures. A comparative study of early results following external fixation, functional bracing in supination, or dorsal plaster immobilization.
Arch Orthop Trauma Surg. 1990;109(1):34-8. doi: 10.1007/BF00441907.