Jiao Fu-de, Zhang Jing-Wei, Zhu Li-Mei, An Lin, Zhuang Yun-Qiang, Chen Jian-Ming
Department of Traumatic Othopeadics, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China.
Zhongguo Gu Shang. 2025 Jan 25;38(1):87-91. doi: 10.12200/j.issn.1003-0034.20231218.
Investigating the clinical efficacy of treating dorsally displaced distal radial double-column Die-punch fractures using a dorsal approach external fixator combined with Kirschner wires.
Retrospectively analyzed the clinical data of 15 patients with distal radial double-column Die-punch fractures treated with an external fixator combined with Kirschner wire between July 2020 and January 2023. There were 10 males and 5 females;6 cases on the left side and 9 on the right;age ranged from 22 to 76 years old. Recorded the preoperative and the final follow-up Cooney wrist function scores for the patients. The fracture healing time, and occurrence of complications were recorded.
All 15 patients were followed up ranged from 12 to 16 months post-operation. All fractures achieved bony union, healing time ranging form 8 to 16 weeks. Not a single patient exhibited complications such as surgical site infection, fracture redislocation, or tendon injury. All individuals had their Kirschner wires and external fixation devices removed six weeks post-operatively and commenced rehabilitative therapy for wrist articulation. The Cooney wrist function scores at preoperative and ranged from 5 to 45 scores, at the latest follow-up ranged from 65 to 100 scores. At the final follow-up, the results were assessed as excellent in 10 patients, good in 4 patients, and fair in 1 patient.
The clinical efficacy of treating distal radial double-column Die-punch fractures using a dorsal approach external fixator combined with Kirschner wires is satisfactory.
探讨采用背侧入路外固定架结合克氏针治疗桡骨远端背侧移位双柱冲压骨折的临床疗效。
回顾性分析2020年7月至2023年1月期间采用外固定架结合克氏针治疗的15例桡骨远端双柱冲压骨折患者的临床资料。其中男性10例，女性5例；左侧6例，右侧9例；年龄22至76岁。记录患者术前及末次随访时的Cooney腕关节功能评分。记录骨折愈合时间及并发症发生情况。
15例患者均获得随访，术后随访时间为12至16个月。所有骨折均达到骨性愈合，愈合时间为8至16周。无一例患者出现手术部位感染、骨折再移位或肌腱损伤等并发症。所有患者均在术后6周取出克氏针及外固定装置，并开始进行腕关节康复治疗。术前Cooney腕关节功能评分5至45分，末次随访时评分65至100分。末次随访时，结果评定为优10例，良4例，可1例。
采用背侧入路外固定架结合克氏针治疗桡骨远端双柱冲压骨折的临床疗效满意。
