Asche G
Arbeitsbereich Handchirurgie, Kreiskrankenhaus Freudenstadt.
Zentralbl Chir. 1995;120(12):952-8.
Ligamentotaxis first described by Vidal presented the opportunity to treat wrist fractures near to the joint with external fixation. The first published results with this technique were surprisingly successful. As a result, since 1980 the author began, as one of the first in the German speaking regions, to treat radius fractures with the Hoffmann C-series external fixator. With a newly developed dynamic wrist fixator device 4 clinics have treated 104 fractures in a prospective study. These fractures were followed up 6 months later. Using the Lidström classification, the x-ray results were very good and good for 98% and moderate for 2% of treated fractures. Clinically the results were very good and good for 91% and moderate for 2% of treated fractures. Poor results were not recorded. 92% of the patients had a shortening of the radius of less than 2 mm. The sooner motion was initiated, the better the results were during the follow up. All the parameters such as x-ray evaluation, clinical evaluation, pain, strength, and in particular motion were improved when compared to a static fixator or motion after 14 postoperative days. The treatment time with this new dynamic wrist fixator device was reduced by two weeks compared to a static fixator. Cancellous bone grafting was never necessary.
维达尔首次描述的韧带整复术为使用外固定治疗靠近关节的腕部骨折提供了机会。这项技术首次发表的结果出人意料地成功。因此，自1980年以来，作者作为德语区首批人员之一，开始使用霍夫曼C系列外固定器治疗桡骨骨折。在一项前瞻性研究中，4家诊所使用一种新开发的动态腕部固定器装置治疗了104例骨折。6个月后对这些骨折进行了随访。根据利德斯特伦分类法，X线检查结果显示，98%的治疗骨折为优或良，2%为中等。临床结果显示，91%的治疗骨折为优或良，2%为中等。未记录到差的结果。92%的患者桡骨缩短小于2毫米。运动开始得越早，随访期间的结果越好。与静态固定器或术后14天开始运动相比，所有参数如X线评估、临床评估、疼痛、力量，尤其是运动情况均得到改善。与静态固定器相比，使用这种新型动态腕部固定器装置的治疗时间缩短了两周。从未需要进行松质骨移植。
