Wolfe S W, Easterling K J, Yoo H H
Yale University School of Medicine, New Haven, Connecticut, USA.
Arthroscopy. 1995 Dec;11(6):706-14. doi: 10.1016/0749-8063(95)90114-0.
The outcomes of seven patients with severe comminuted intraarticular fractures of the distal radius treated by arthroscopic reduction and percutaneous external fixation (ARPEF) were retrospectively reviewed. All of the fractures were classified as C3 types using the AO classification scheme. Outcomes were evaluated using the Gartland and Werley functional criteria, an objective wrist examination, a radiographic analysis, and a self-assessment outcome form at an average follow-up of 27 months (range, 12 to 45 months). All patients were free of pain and had returned to their prior occupations. No patient had articular incongruency of greater than 1 mm, and there was no evidence of radiocarpal degenerative change. Active range of motion and maximal grip strength averaged 92% and 98%, respectively, of the uninjured wrist. The technique of arthroscope-assisted reduction and percutaneous external fixation yielded excellent results in a small group of patients, with minimal complications.
回顾性分析了7例采用关节镜下复位及经皮外固定（ARPEF）治疗的桡骨远端严重粉碎性关节内骨折患者的治疗结果。所有骨折均根据AO分类法归类为C3型。采用Gartland和Werley功能标准、客观的腕关节检查、影像学分析以及自我评估结果表对患者进行评估，平均随访27个月（范围12至45个月）。所有患者均无疼痛，已恢复之前的工作。没有患者的关节不匹配超过1毫米，也没有桡腕关节退变的证据。患侧腕关节的主动活动范围和最大握力分别平均为健侧的92%和98%。关节镜辅助复位及经皮外固定技术在一小部分患者中取得了优异的效果，并发症极少。
