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创伤后腕关节畸形的手术治疗。16例Colles骨折行桡骨截骨术和/或尺骨短缩术。

Surgery for posttraumatic wrist deformity. Radial osteotomy and/or ulnar shortening in 16 Colles' fractures.

作者信息

Hove L M, Mölster A O

机构信息

Department of Orthopedics and Traumatology, Haukeland University Hospital, Bergen, Norway.

出版信息

Acta Orthop Scand. 1994 Aug;65(4):434-8. doi: 10.3109/17453679408995488.

Abstract

16 patients with pain and impaired function after malunited fracture of the distal radius were treated with opening wedge lengthening osteotomy of the radius with bone grafting (12 cases), shortening osteotomy of the ulna (3 cases), or a combination of these methods (1 case), with or without reattachment of the triangular fibrocartilage complex. 4 patients had to be reoperated because of redislocation, resorption of the graft, fracture of the plate, or persistent non-union. At re-examination after a median of 4 years, all patients but 2 were improved by the procedure.

摘要

16例桡骨远端骨折畸形愈合后出现疼痛和功能障碍的患者接受了桡骨开放楔形延长截骨术并植骨(12例)、尺骨缩短截骨术(3例)或这些方法的联合应用(1例),同时伴有或不伴有三角纤维软骨复合体重新附着。4例患者因再脱位、植骨吸收、钢板骨折或持续不愈合而需再次手术。在中位随访4年后的复查中,除2例患者外,所有患者的病情均因该手术得到改善。

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