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[桡骨远端钢板内固定的适应证与结果]

[Indications and results of plate osteosynthesis of the distal radius].

作者信息

Letsch R, Schmit-Neuerburg K P, Towfigh H

出版信息

Langenbecks Arch Chir. 1984;364:363-8. doi: 10.1007/BF01823236.

Abstract

Plating of the distal radius is indicated in: a) flexion fractures, b) irreducible intraarticular fractures, c) unstable extraarticular extension fractures, d) chisel fractures of the radial styloid process and the navicular bone, e) correction osteotomies after defective bone healing. The paper presents the final results of 124 radial plate fixations. 73.4% had excellent and good, 20.1% fair, and 6.5% bad results. There was a close correlation between radiologic appearance and clinical function. Early secondary surgery (4th-14th day) showed the best results. Old age had a highly negative influence.

摘要

桡骨远端钢板内固定适用于

a)屈曲型骨折;b)无法复位的关节内骨折;c)不稳定的关节外伸展型骨折;d)桡骨茎突和舟状骨的凿状骨折;e)骨愈合不良后的矫正截骨术。本文介绍了124例桡骨钢板固定的最终结果。73.4%的结果为优和良,20.1%为一般,6.5%为差。影像学表现与临床功能之间存在密切相关性。早期二次手术(第4 - 14天)效果最佳。高龄有非常负面的影响。

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