McBirnie J, Court-Brown C M, McQueen M M
Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh NHS Trust, UK.
J Bone Joint Surg Br. 1995 Jul;77(4):571-5.
We describe a new technique for open reduction, bone grafting and fixation with a single Kirschner wire of unstable fractures of the distal radius. Of the 83 patients treated by this technique, most had regained volar tilt when seen at an average of 13 months after injury. Malunion was seen in 18 patients due either to poor placement of the graft and Kirschner wire or because of both volar and dorsal comminution. Assessment of hand and wrist function showed an average recovery of 63% of mass grip strength with an excellent return of specialised grip strength and range of movement. The advantages of this technique over closed methods include the ability to regain the volar tilt of the distal radius and to achieve reduction at any time before union of the fracture.
我们描述了一种用于桡骨远端不稳定骨折切开复位、植骨并用单根克氏针固定的新技术。在采用该技术治疗的83例患者中，多数患者在受伤后平均13个月复诊时恢复了掌倾角。18例患者出现了畸形愈合，原因要么是植骨和克氏针放置不当，要么是掌侧和背侧均有粉碎性骨折。对手部和腕部功能的评估显示，平均恢复了63%的最大握力，特殊握力和活动范围恢复良好。该技术相对于闭合方法的优势包括能够恢复桡骨远端的掌倾角，并在骨折愈合前的任何时间实现复位。
