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改良微创复位与接骨系统技术治疗桡骨远端骨折固定术

Modified Minimally Invasive Reduction and Osteosynthesis System Technique for Fixation of Distal Radius.

作者信息

Mohanty Atanu, Mohanty Anuraag, Sarangi Jitendra, Ratha Sibananda, Nayak Rabindra Kumar

机构信息

Department of Orthopaedics, Maharaja Jajati Kesari Medical College and Hospital, Jajpur, Odisha, India.

Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar (Kimsbhu), Odisha, India.

出版信息

J Orthop Case Rep. 2025 Aug;15(8):306-311. doi: 10.13107/jocr.2025.v15.i08.5978.

Abstract

AIM & BACKGROUND: Distal radius fractures are among the most frequently encountered bone injuries. Percutaneous pinning with a modified minimally invasive technique offers a less invasive alternative to conventional surgical interventions. This study aims to evaluate the early functional outcomes of this technique in managing distal radius fractures. Optimal management relies on precise anatomical alignment, minimal soft-tissue disruption, and prompt initiation of wrist rehabilitation. The objective is to assess the early functional outcomes of distal radius fractures treated with percutaneous pinning using a modified minimally invasive approach in adults.

MATERIALS & METHODS: A prospective study was carried out on 20 adult patients presenting with distal radius fractures. All patients underwent percutaneous pinning using a modified technique and were monitored over 6 months at Jajati Kesari Medical College and Hospital, Jajpur, Odisha. Functional recovery was evaluated postoperatively using Cooney's adaptation of the Green and O'Brien scoring system.

RESULTS

Among the 20 participants, 9 (45%) demonstrated good functional outcomes, 9 (45%) had fair outcomes, and 2 (10%) had poor outcomes based on the Green and O'Brien scoring criteria.

CONCLUSION

The modified percutaneous fixation technique offers promising results in terms of fracture stabilization and early functional recovery. To confirm these findings, future research should be conducted with larger sample sizes.

摘要

目的与背景

桡骨远端骨折是最常见的骨损伤之一。采用改良的微创技术经皮穿针固定为传统手术干预提供了一种侵入性较小的替代方法。本研究旨在评估该技术治疗桡骨远端骨折的早期功能结果。最佳治疗依赖于精确的解剖复位、最小程度的软组织破坏以及腕关节康复的及时启动。目的是评估采用改良微创方法经皮穿针固定治疗成人桡骨远端骨折的早期功能结果。

材料与方法

对20例桡骨远端骨折的成年患者进行了一项前瞻性研究。所有患者均采用改良技术进行经皮穿针固定,并在奥里萨邦贾尔普尔的贾贾蒂·凯萨里医学院及医院接受了6个月的监测。术后使用库尼对格林和奥布赖恩评分系统的改编版本评估功能恢复情况。

结果

根据格林和奥布赖恩评分标准,20名参与者中,9例(45%)显示出良好的功能结果,9例(45%)结果尚可,2例(10%)结果较差。

结论

改良的经皮固定技术在骨折稳定和早期功能恢复方面提供了有前景的结果。为证实这些发现,未来研究应以更大样本量进行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d008/12328981/b982a3256f03/JOCR-15-306-g001.jpg

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