Wallenböck E, Diethart T, Plecko M, Fuchs B
Unfallkrankenhaus, Graz, Osterreich.
Langenbecks Arch Chir. 1994;379(2):76-9. doi: 10.1007/BF00195867.
The advantages of internal fixation of fractures, with the possibility of immediate resumption of the function of the fractured bone, are in contrast to the well-known complications described in the literature. These complications and our own unsatisfactory results after surgical treatment of fractures of the head of the radius induced us to carry out a randomized prospective study of primary functional treatment of such fractures without external or internal stabilization. From December 1991 through December 1992, a total of 70 patients were treated according to a strict treatment protocol at the Graz Hospital for Accident Surgery, and CT was used for observation of the healing process. The positive early results, which in 91% of all cases were classified as very good or good, the lack of complications that sometimes follow surgical treatment, the markedly earlier recovery of the patient's working capacity, and the clearly shorter--albeit somewhat more expensive--treatment period required have led us to continue using this method at our hospital and also to recommend its use elsewhere.
骨折内固定的优点是骨折部位的功能有可能立即恢复，这与文献中所描述的众所周知的并发症形成了对比。这些并发症以及我们在桡骨头骨折手术治疗后得到的不尽人意的结果，促使我们对这类骨折不进行外固定或内固定的一期功能治疗开展一项随机前瞻性研究。从1991年12月到1992年12月，格拉茨事故外科医院共有70例患者按照严格的治疗方案接受治疗，并使用CT观察愈合过程。早期得到的积极结果，在所有病例中有91%被归类为非常好或良好，没有手术治疗有时会伴随的并发症，患者工作能力明显更早恢复，以及所需的治疗期明显更短——尽管费用有所增加——这些使得我们在本院继续使用这种方法，并建议其他地方也采用。
