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用于桡骨远端粉碎性骨折的背侧钢板固定：第二掌骨与第三掌骨远端固定的功能结果

Dorsal Bridge Plating for Comminuted Distal Radius Fractures: Functional Outcomes of Distal Fixation on 2nd Metacarpal versus 3rd Metacarpal.

作者信息

Nidunganda Riyaz Nalupurapatil, Keethadath Askar, Paul Prannoy, Nair Kailas Chithra Surendran, Vijay Anjali Sudha, Thachampatta Mohammed Rasal

机构信息

Department of Orthopaedics, Government Medical College, Kannur, Kerala, India.

Department of Orthopaedics, M.O.S.C Medical College Hospital, Kolenchery, Ernakulam, Kerala, India.

出版信息

J Orthop Case Rep. 2025 May;15(5):256-260. doi: 10.13107/jocr.2025.v15.i05.5626.

DOI:10.13107/jocr.2025.v15.i05.5626
PMID:40351607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12064241/
Abstract

PURPOSE

To compare the functional outcome of distal fixation on the second metacarpal versus the third metacarpal in patients treated with dorsal bridge plating for comminuted intra-articular distal radius fractures.

MATERIALS AND METHODS

The functional outcome of 60 patients treated with dorsal bridge plating was assessed 6 months postoperatively comparing distal fixation on the second metacarpal versus the third metacarpal. Pain, ability to work post-fixation, range of movements, stiffness, and grip strength were the parameters assessed.

RESULTS

Distal fixation on the third metacarpal resulted in more stiffness and risk of tendon entrapment of the first and third extensor compartments when compared to distal fixation on the second metacarpal.

CONCLUSION

Dorsal bridge plating with a distal fixation on the second metacarpal shower better functional outcome compared to the third metacarpal with a better range of movements, less risk of tendon entrapment, and better fracture stabilization.

摘要

目的

比较在采用背侧桥接钢板治疗桡骨远端粉碎性关节内骨折的患者中，将钢板远端固定于第二掌骨与第三掌骨的功能结果。

材料与方法

对60例采用背侧桥接钢板治疗的患者在术后6个月进行评估，比较钢板远端固定于第二掌骨与第三掌骨的情况。评估的参数包括疼痛、固定后工作能力、活动范围、僵硬程度和握力。

结果

与将钢板远端固定于第二掌骨相比，将钢板远端固定于第三掌骨会导致更多的僵硬，以及第一和第三伸肌间隔出现肌腱卡压的风险。

结论

与将钢板远端固定于第三掌骨相比，将钢板远端固定于第二掌骨的背侧桥接钢板治疗具有更好的功能结果，活动范围更大，肌腱卡压风险更低，骨折稳定性更好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/d93e4667296d/JOCR-15-256-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/1b3ebb428995/JOCR-15-256-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/568c810e5028/JOCR-15-256-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/e900c335039a/JOCR-15-256-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/e6bc0b947e62/JOCR-15-256-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/f817ead32c52/JOCR-15-256-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/ad2a89ad506a/JOCR-15-256-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/fca7aa25075f/JOCR-15-256-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/d93e4667296d/JOCR-15-256-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/1b3ebb428995/JOCR-15-256-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/568c810e5028/JOCR-15-256-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/e900c335039a/JOCR-15-256-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/e6bc0b947e62/JOCR-15-256-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/f817ead32c52/JOCR-15-256-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/ad2a89ad506a/JOCR-15-256-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/fca7aa25075f/JOCR-15-256-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3f/12064241/d93e4667296d/JOCR-15-256-g008.jpg

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J Hand Surg Glob Online. 2023 Dec 27;6(2):227-232. doi: 10.1016/j.jhsg.2023.11.008. eCollection 2024 Mar.
2
Bridge plating in the setting of radiocarpal instability: Does distal fixation to the second or third metacarpal matter? A cadaveric study.桡腕关节不稳定情况下的桥接钢板固定：固定于第二或第三掌骨的远端对治疗效果有影响吗？一项尸体研究。
World J Orthop. 2023 Apr 18;14(4):207-217. doi: 10.5312/wjo.v14.i4.207.
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Pain, hand function, activity performance and apprehensiveness, in patients with surgically treated distal radius fractures.接受手术治疗的桡骨远端骨折患者的疼痛、手部功能、活动表现及忧虑情绪
J Plast Surg Hand Surg. 2023 Feb-Dec;57(1-6):247-252. doi: 10.1080/2000656X.2022.2060992. Epub 2022 May 5.
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