De Boeck H, Haentjens P, Handelberg F, Casteleyn P P, Opdecam P
Department of Orthopaedic Surgery and Traumatology, V.U.B. University Hospital, Brussels, Belgium.
Arch Orthop Trauma Surg. 1996;115(6):316-20. doi: 10.1007/BF00420323.
In a prospective study 52 patients with an isolated fracture of the distal ulna were treated with a below-elbow plaster cast. The histories of 46 patients were reviewed after a mean follow-up of 3.5 years (ranging from 10 months to 7 years). Forty-three fractures united. There were two non-unions. One fracture displaced while in the plaster, so that there was no longer any bone contact between the fragments. The fracture was consequently treated by open reduction and internal fixation. The type of fracture, the initial displacement (all fractures had bone contact) or the initial angulation (maximum 10 deg) was not found to influence the final clinical results. Below-elbow plaster cast appeared to produce satisfactory results in 89% of the patients.
在一项前瞻性研究中，对52例单纯尺骨远端骨折患者采用肘下石膏固定治疗。平均随访3.5年（10个月至7年）后，对46例患者的病史进行了回顾。43例骨折愈合。有2例骨不连。1例骨折在石膏固定期间发生移位，导致骨折块之间不再有骨接触。因此，该骨折通过切开复位内固定治疗。未发现骨折类型、初始移位（所有骨折均有骨接触）或初始成角（最大10度）会影响最终临床结果。肘下石膏固定在89%的患者中似乎产生了满意的结果。
