Hutchinson F
Miller Orthopaedic Clinic, Charlotte, NC 28203, USA.
J South Orthop Assoc. 1995 Winter;4(4):290-306.
In distal radius fractures, function follows restoration of preinjury anatomic landmarks. The allowable deviation from these measurements is relatively small if optimal results are to be achieved, particularly in younger individuals. A hierarchy of treatment options--characterized by increasing invasiveness--exists for treating these injuries. As this hierarchy is ascended, treatment-related complications increase. It appears reasonable to select the least invasive treatment option capable of achieving satisfactory anatomic alignment. Hand and extremity function must be addressed early, and a conscientious effort must be exerted to avoid residual stiffness or the development of reflex sympathetic dystrophy.
在桡骨远端骨折中，功能的恢复取决于伤前解剖标志的复位。若要获得最佳效果，尤其是对于年轻患者，这些测量值的允许偏差相对较小。治疗这些损伤存在一系列治疗选择，其特点是侵入性逐渐增加。随着在这一系列中向上推进，与治疗相关的并发症会增加。选择能够实现满意解剖复位的侵入性最小的治疗方案似乎是合理的。手部和肢体功能必须尽早处理，并且必须认真努力避免残留僵硬或反射性交感神经营养不良的发生。
