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桡骨远端复杂骨折：使用跨越钢板进行骨固定术的分析

COMPLEX FRACTURES OF THE DISTAL RADIUS: ANALYSIS OF OSTEOSYNTHESIS USING SPANNING PLATES.

作者信息

Rodrigues Túlio Felício DA Cunha, Freitas Afrânio Donato DE, Vieira João Antonio Côrtes, Rivera Juan Camilo Ortega, Cotta Rodrigo Mitre

机构信息

Fundação Hospitalar São Francisco de Assis, Belo Horizonte, MG, Brazil.

出版信息

Acta Ortop Bras. 2025 Apr 7;33(spe1):e278038. doi: 10.1590/1413-785220243201e278038. eCollection 2025.

DOI:10.1590/1413-785220243201e278038
PMID:40206446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11978308/
Abstract

OBJECTIVE

To radiographically evaluate the postoperative results of AO 2R3C3 type distal radius fractures treated using the spanning plate technique, associated or not with other fixation methods.

METHODS

Retrospective observational study that evaluated 14 patients, aged 29 to 80 years, who underwent osteosynthesis, from November 2021 to June 2022. For radiographic measurement, the following parameters were defined: ulnar variance, volar inclination, radial inclination and step articulate.

RESULTS

The mean value of radial inclination was 13.70 degrees, volar inclination was 0.85 degrees, ulnar variance was 0.60mm and joint step was 0.78mm.

CONCLUSION

Fixation using spanning plate is an excellent alternative in the management of complex fractures of the distal radius.

摘要

目的

通过影像学评估采用跨越钢板技术治疗的AO 2R3C3型桡骨远端骨折的术后结果，该技术可联合或不联合其他固定方法。

方法

回顾性观察研究，评估了2021年11月至2022年6月期间接受骨固定术的14例年龄在29至80岁之间的患者。对于影像学测量，定义了以下参数：尺骨变异、掌侧倾斜度、桡侧倾斜度和关节台阶。

结果

桡侧倾斜度的平均值为13.70度，掌侧倾斜度为0.85度，尺骨变异为0.60mm，关节台阶为0.78mm。

结论

使用跨越钢板进行固定是治疗桡骨远端复杂骨折的一种极佳选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/b83fa09a61a6/1809-4406-aob-33-spe1-e278038-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/560745361704/1809-4406-aob-33-spe1-e278038-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/f0ceb35685e4/1809-4406-aob-33-spe1-e278038-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/1978db3742ad/1809-4406-aob-33-spe1-e278038-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/c5994b99bbc1/1809-4406-aob-33-spe1-e278038-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/5d01902e917c/1809-4406-aob-33-spe1-e278038-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/9af78db6dd13/1809-4406-aob-33-spe1-e278038-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/4359ac39c8b6/1809-4406-aob-33-spe1-e278038-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/b83fa09a61a6/1809-4406-aob-33-spe1-e278038-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/560745361704/1809-4406-aob-33-spe1-e278038-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/f0ceb35685e4/1809-4406-aob-33-spe1-e278038-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/1978db3742ad/1809-4406-aob-33-spe1-e278038-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/c5994b99bbc1/1809-4406-aob-33-spe1-e278038-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/5d01902e917c/1809-4406-aob-33-spe1-e278038-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/9af78db6dd13/1809-4406-aob-33-spe1-e278038-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/4359ac39c8b6/1809-4406-aob-33-spe1-e278038-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2624/11978308/b83fa09a61a6/1809-4406-aob-33-spe1-e278038-gf8.jpg

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