Hove L M, Nilsen P T, Furnes O, Oulie H E, Solheim E, Mölster A O
Department of Orthopaedics, Haukeland University Hospital, Bergen, Norway.
Acta Orthop Scand. 1997 Feb;68(1):59-63. doi: 10.3109/17453679709003977.
We have used open reduction and internal fixation with a T-plate in 31 displaced, intraarticular fractures of the distal radius which were judged irreducible or in which closed reduction failed. The mean follow-up time was 4 (3-7) years. The dorsal angulation, the radial length, the articular step-off and the intraarticular gap between fragments were substantially improved after surgery. 30 patients had excellent or good extraarticular alignment, and only 1 patient had a postoperative intraarticular step-off of 2 mm. The function was excellent or good in 26 patients at follow-up. Complications occurred in 6 patients: 1 compartment syndrome, 1 postoperative wound infection, 2 ruptures of the extensor pollicis longus tendon, and 2 patients had median nerve paresthesias.
我们对31例桡骨远端移位性关节内骨折采用T形钢板切开复位内固定治疗，这些骨折被判定为不可复位或闭合复位失败。平均随访时间为4（3 - 7）年。术后，背侧成角、桡骨长度、关节台阶和骨折块间的关节内间隙均有显著改善。30例患者关节外对线优良，仅1例患者术后关节内台阶为2毫米。随访时26例患者功能优良。6例患者出现并发症：1例骨筋膜室综合征，1例术后伤口感染，2例拇长伸肌腱断裂，2例患者出现正中神经感觉异常。
