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[使用外固定器治疗手部关节骨折。经验 - 结果]

[Therapy of hand joint fractures using the external fixator. Experiences - results].

作者信息

Tittel K, Gerhard R, Schindler W, Schauwecker F

出版信息

Unfallchirurgie. 1982 Aug;8(4):219-25. doi: 10.1007/BF02585653.

DOI:10.1007/BF02585653
PMID:7123693
Abstract

In the treatment of multi-fragment fractures of the base of the radius plate osteosynthesis using the small-fragment instrument set is preferred to conservative treatment due to the superior results achieved. However, one still cannot dispense with an additional immobilization of the fracture in a plaster cast. The extension of intra-articular comminuted fractures of the base of the radius is a technically relatively simple procedure and does not require a supporting plaster cast. In this paper we report the results of the treatment of twenty-seven wrist-fracture patients who were treated by external fixator. We also describe the indications and operative techniques. The results are reported by functional and radiological findings. For a great number of cases the results were quite good. We can highly recommend this procedure in the treatment of wrist injuries due to the simplicity of the operative technique employed and minimal follow-up treatment needed in conjunction with the good results achieved.

摘要

在桡骨基部多碎片骨折的治疗中,由于使用小碎片器械组进行钢板接骨术取得了更好的效果,因此比保守治疗更受青睐。然而,骨折仍需额外用石膏固定。桡骨基部关节内粉碎性骨折的延伸在技术上是一个相对简单的手术,不需要辅助石膏固定。在本文中,我们报告了27例接受外固定器治疗的腕部骨折患者的治疗结果。我们还描述了适应症和手术技术。结果通过功能和影像学检查结果报告。对于大量病例,结果相当不错。由于所采用的手术技术简单,所需的后续治疗极少,且取得了良好的效果,我们强烈推荐这种手术方法用于腕部损伤的治疗。

相似文献

1
[Therapy of hand joint fractures using the external fixator. Experiences - results].[使用外固定器治疗手部关节骨折。经验 - 结果]
Unfallchirurgie. 1982 Aug;8(4):219-25. doi: 10.1007/BF02585653.
2
[Plate Osteosynthesis of Distal Ulna Fractures with Associated Distal Radius Fractures Treated by Open Reduction and Internal Fixation. Short-Term Functional and Radiographic Results].[采用切开复位内固定治疗合并桡骨远端骨折的尺骨远端骨折的钢板内固定。短期功能和影像学结果]
Acta Chir Orthop Traumatol Cech. 2015;82(5):369-76.
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The small AO external fixator in hand surgery.手部外科中的小型AO外固定器
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4
Comminuted intra-articular fractures of the distal end of the radius treated with the Hoffmann external fixator.采用霍夫曼外固定器治疗的桡骨远端粉碎性关节内骨折。
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Treatment of severely comminuted intra-articular fractures of the distal end of the radius by open reduction and combined internal and external fixation.切开复位联合内外固定治疗桡骨远端严重粉碎性关节内骨折
J Bone Joint Surg Am. 2001 Apr;83(4):509-19. doi: 10.2106/00004623-200104000-00005.
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Plate presetting and arthroscopic reduction technique (PART) for treatment of distal radius fractures.用于治疗桡骨远端骨折的钢板预弯和关节镜下复位技术(PART)
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Update on external fixators in the treatment of wrist fractures.腕部骨折治疗中外固定架的最新进展。
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8
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External fixation of complex hand and wrist fractures.复杂手部和腕部骨折的外固定
J Trauma. 1983 Apr;23(4):332-6. doi: 10.1097/00005373-198304000-00011.
10
Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius--a prospective randomized trial.桡骨远端不稳定骨折采用增强型外固定与经皮穿针石膏固定的前瞻性随机试验
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本文引用的文献

1
[Operative treatment of certain cases of distal radius fracture].
Helv Chir Acta. 1959 Jun;26(2):81-94.
2
[Treatment of comminution fractures of the basis of the radius--an alternative way (author's transl)].桡骨基部粉碎性骨折的治疗——一种替代方法(作者译)
Unfallchirurgie. 1980;6(3):159-61. doi: 10.1007/BF02588973.
3
[Late results in the management of distal radius fractures].[桡骨远端骨折治疗的远期结果]
Zentralbl Chir. 1967 Dec 23;92(51):3038-45.
4
[Proceedings: Fractures of the distal end of the radius: indication for and technique of internal fixation (author's transl)].[会议论文:桡骨远端骨折:内固定的适应证与技术(作者译)]
Langenbecks Arch Chir. 1973;334:181-7. doi: 10.1007/BF01286557.
5
[Proceedings: Fractures of the distal end of the radius: classification and conservative treatment (author's transl)].
Langenbecks Arch Chir. 1973;334:171-80. doi: 10.1007/BF01286556.
6
[Proceedings: Sudeck's syndrome following trauma of the distal end of the radius and of the wrist (author's transl)].[会议论文:桡骨远端及腕部创伤后苏戴克综合征(作者译)]
Langenbecks Arch Chir. 1973;334:203-9. doi: 10.1007/BF01286560.
7
[Therapy of the over-extension fracture of the distal radius].[桡骨远端伸直型骨折的治疗]
Hefte Unfallheilkd. 1975(121):61-3.
8
[Fractures near joints].[关节附近的骨折]
Hefte Unfallheilkd. 1975(121):51-6.