Glowacki K A, Weiss A P, Akelman E
Department of Orthopedics, Brown University School of Medicine, Rhode Island Hospital, Providence, USA.
Orthopedics. 1996 Jul;19(7):601-8.
Distal radius fractures are one of the most common types of injuries treated by an orthopedic surgeon. The overall results may not be as favorable as once thought. As a distinct subgroup, the young adult deserves special consideration. Management of distal radius fractures in these patients is difficult due to the higher energy involved, amount of comminution, and associated soft tissue damage. Functional outcome has been best when an anatomical reduction has been achieved. Many surgical options are available: external fixation, percutaneous pin fixation and open reduction are the mainstays. The complications may be minimized with careful attention to and knowledge of the techniques used and early intervention when closed treatment fails.
桡骨远端骨折是骨科医生治疗的最常见损伤类型之一。总体治疗结果可能不如曾经认为的那么理想。作为一个独特的亚组，年轻成年人值得特别关注。由于涉及的能量较高、粉碎程度以及相关软组织损伤，这些患者的桡骨远端骨折治疗困难。当实现解剖复位时，功能结果最佳。有许多手术选择：外固定、经皮穿针固定和切开复位是主要方法。通过仔细关注所用技术并掌握相关知识，以及在闭合治疗失败时尽早干预，并发症可降至最低。
