Raskin K B, Melone C P
Department of Orthopaedic Surgery, New York University Medical Center, New York.
Orthop Clin North Am. 1993 Apr;24(2):275-86.
Ligamentotaxis employing either pins and plaster or external fixators, frequently in conjunction with supplemental Kirschner wire internal fixation, has proved to be a reliable means of maintaining an accurate reduction of unstable articular fractures of the distal radius. Critical preoperative evaluation and surgical restoration of articular congruity along with attention to key technical details have resulted in a reproducible successful recovery. In our experience, the advantages of the pins and plaster technique are its relatively simple methodology, its comparatively low cost, and its high level of patient acceptance. The distinctive advantages of the external fixator are its superior mechanical efficiency, its capacity for fracture adjustment during the healing period, and the fact that it ensures unimpeded access to wounds. Nonetheless, regardless of the specific method chosen, this study clearly supports the contention that precision in patient selection and pin placement are the prerequisites for successful ligamentotaxis in the management of distal radius fractures.
采用钢针加石膏或外固定架进行韧带整复，通常联合克氏针内固定，已被证明是维持桡骨远端不稳定关节骨折精确复位的可靠方法。关键的术前评估和关节面一致性的手术恢复以及对关键技术细节的关注带来了可重复的成功恢复。根据我们的经验，钢针加石膏技术的优点是其方法相对简单、成本相对较低且患者接受度高。外固定架的独特优点是其机械效率更高、在愈合期能够调整骨折以及确保能够顺利处理伤口。尽管如此，无论选择何种具体方法，本研究明确支持这样的观点，即精确选择患者和钢针置入是桡骨远端骨折治疗中韧带整复成功的先决条件。
