Cannegieter D M, Juttmann J W
Department of Surgery, Ziekenhuis Hilversum, The Netherlands.
J Bone Joint Surg Br. 1997 May;79(3):428-32. doi: 10.1302/0301-620x.79b3.6835.
We present a prospective study of the treatment of 32 unstable Colles' fractures by external fixation and cancellous grafting with minimal exposure. We inserted an external fixator between the radius and the second metacarpal, and maintained ligamentotaxis for five weeks. In 27 patients the result was good or excellent, but five fractures healed with malunion. All patients made a satisfactory functional recovery. At a mean follow-up of three years (1 to 5) after injury none had pain in the wrist and all were satisfied with the result. The average grip strength was 95% of normal. Seven patients had algodystrophy with mild impairment of finger movements in four. We conclude that the combination of cancellous grafting and external fixation is effective for the treatment of unstable Colles' fractures.
我们进行了一项前瞻性研究，采用外固定和松质骨移植且暴露最小化的方法治疗32例不稳定型科雷氏骨折。我们在桡骨和第二掌骨之间插入外固定器，并维持韧带整复五周。27例患者结果良好或优秀，但5例骨折愈合时有畸形愈合。所有患者功能恢复均令人满意。受伤后平均随访三年（1至5年），无一例手腕疼痛，所有人对结果都满意。平均握力为正常的95%。7例患者出现骨萎缩，其中4例手指运动有轻度障碍。我们得出结论，松质骨移植和外固定相结合对治疗不稳定型科雷氏骨折有效。
