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桡骨远端骨折的手术指征及术式选择——钢丝、钢板、外固定

[Surgical indications and choice of procedure in distal radius fractures--wire, plates, external fixation].

作者信息

Faupel L, Ecke H, Rehm K

出版信息

Unfallchirurgie. 1984 Oct;10(5):245-9. doi: 10.1007/BF02585780.

Abstract

The treatment of the typical fracture of the radius is predominantly conservative. Unstable fractures, bending fractures and open fractures will receive operative treatment. Hereby Kirschner wires, blade plates and screws are applied for osteosynthesis. Heavy comminuted fractures were stabilized, besides by minimal osteosynthesis, by a mini-external fixation unit. The results of operative treatment in the Unfallchirurgische Klinik Giessen were in 50% excellent and good, in 38% satisfactory and in 12% bad. The main complications were disturbances of sensibility in the area of the superficial branch of the radial nerve.

摘要

桡骨典型骨折的治疗主要采用保守治疗。不稳定骨折、弯曲骨折和开放性骨折将接受手术治疗。在此,克氏针、接骨板和螺钉用于骨固定。严重粉碎性骨折除采用微创骨固定外,还通过微型外固定装置进行固定。吉森创伤外科诊所的手术治疗结果显示,50%为优和良,38%为满意,12%为差。主要并发症是桡神经浅支区域的感觉障碍。

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