Fernandez D L, Albrecht H U, Saxer U
Arch Orthop Unfallchir. 1977 Dec 9;90(2):199-211. doi: 10.1007/BF00414992.
Corrective osteotomy is indicated in young manual workers with significant malalignment after fracture of the distal radius without associated degenerative changes in the wrist joint. Chronic pain, limited motion and impaired power can be avoided and the cosmetic appearance of the hand improved, by restoration of the functional anatomy of the wrist. The operation consists of an opening-wedge osteotomy at the fracture site, sometimes combined with resection of the distal ulna. The approach may be dorsal or volar. A small iliac cortico-cancellous bone graft is inserted at the osteotomy site. Fixation is by an AO-small fragment-T-plate allowing early functional after-treatment.
对于年轻的体力劳动者，桡骨远端骨折后出现明显畸形且腕关节无相关退行性改变的情况，可行矫正截骨术。通过恢复腕关节的功能解剖结构，可避免慢性疼痛、活动受限和力量受损，并改善手部的外观。手术包括在骨折部位进行开口楔形截骨，有时联合尺骨远端切除术。手术入路可选择背侧或掌侧。在截骨部位植入一小块髂骨皮质松质骨移植骨。采用AO小型碎片T形钢板固定，以便早期进行功能康复治疗。
