Foltin E, Wurdinger W
Unfallkrankenhaus der AUVA Linz.
Handchir Mikrochir Plast Chir. 1994 Mar;26(2):99-109.
Thirty-five comminuted fractures of the distal radius in 34 patients were reduced by manipulation and pins, then immobilised with plaster. The Kirschner wires were inserted into the first metacarpal and the olecranon. In five cases, problems with the proximal pin occurred. A clinical and radiological examination could be done in 21 patients three to nineteen years after the accident. Using the demerit-point-system of Gartland and Werley, the result was excellent in three patients, good in nine, and fair in nine; there were no poor results. After careful retrospective consideration of treatment alternatives for these comminuted distal radial fractures, there remain the following indications for pins and plaster: 1. selected cases treated by surgeons experienced with the method, 2. as an emergency procedure when an external fixator seems to be indicated but is not available.
34例患者的35处桡骨远端粉碎性骨折通过手法复位和克氏针固定，然后用石膏固定。克氏针插入第一掌骨和尺骨鹰嘴。5例出现近端克氏针相关问题。事故发生三至十九年后，对21例患者进行了临床和放射学检查。采用Gartland和Werley的缺点评分系统，3例结果为优，9例为良，9例为可；没有差的结果。在仔细回顾性考虑这些桡骨远端粉碎性骨折的治疗方案后，克氏针和石膏固定仍有以下适应证：1. 由熟悉该方法的外科医生选择的病例；2. 当似乎需要外固定架但无法获得时作为紧急手术。
