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[桡骨下四分之一处近期双骨折关节骨折治疗的局限性与不足之处]

[Limits and insufficiencies of the treatments of recent double-break articular fractures of the lower fourth of the radius].

作者信息

Thomasson E D, Rouvreau P, Begue T, Leriche de Cheveigne C, Mathoulin C, Boury G, Judet T

机构信息

Service de Chirurgie générale II Traumatologie et Orthopédie, Hôpital Tenon, Paris.

出版信息

Ann Chir Main Memb Super. 1994;13(1):13-9.

PMID:7511906
Abstract

The authors present a series of 39 intra-articular fractures of the distal part of the radius classified as Frykman VII and VIII. Clinical results showed 77% of good and very good results. Radiographs showed 71% of reduced articular surfaces but only 37% of radiuses were considered to be anatomical. The authors emphasize the high rate of secondary displacement due to the epiphyseal comminution, and the importance of pre-operative radiographs obtained under traction, allowing good analysis of the fracture and evaluation of the comminution.

摘要

作者报告了39例桡骨远端关节内骨折,这些骨折被分类为Frykman VII型和VIII型。临床结果显示,77%的结果为良好和非常好。X线片显示71%的关节面得到复位,但只有37%的桡骨被认为达到解剖复位。作者强调,由于骨骺粉碎,二次移位发生率较高,术前牵引下获得的X线片很重要,有助于对骨折进行良好分析和评估粉碎情况。

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