Rauïs A, Ledoux A, Thiebaut A, van der Ghinst M
Int Orthop. 1979;3(2):89-96. doi: 10.1007/BF00266877.
The frequency fo secondary displacement in fractures of the distal end of the radius is very high and varies from 40 to 60% in various series. This results from the void in the epiphysis after reduction due to crushing of the cancellous bone. Secondary displacement can be easily avoided by the bipolar fixation method. This method is quite simple. Two strong Kirschner wires are driven into the radius and into the first metacarpal, and then incorporated in the cast after the reduction of the fracture. In this study we have followed 102 out of 250 patients treated by this method. The number of secondary displcements has been negligible. The functional results are excellent and we did not find any untoward effects attributable to our technique.
桡骨远端骨折继发移位的发生率非常高，在不同系列研究中为40%至60%不等。这是由于复位后松质骨受压，骨骺出现空隙所致。采用双极固定法可轻易避免继发移位。该方法非常简单。将两根粗克氏针分别打入桡骨和第一掌骨，骨折复位后再将其固定于石膏中。在本研究中，我们对采用该方法治疗的250例患者中的102例进行了随访。继发移位的病例数极少。功能结果极佳，且未发现任何因我们的技术导致的不良影响。
