Ring D, Jupiter J B, Brennwald J, Büchler U, Hastings H
Department of Orthopaedics, Harvard Medical School, Massachusetts General Hospital, Boston 02114, USA.
J Hand Surg Am. 1997 Sep;22(5):777-84. doi: 10.1016/S0363-5023(97)80069-X.
A new plate designed specifically to address complex wrist pathology was used for the internal fixation of 22 complex fractures of the distal radius in 22 patients in a prospective multicenter trial. The majority of fractures were group C2- and C3-type fractures according to the Comprehensive Classification of Fractures. No plate failures, loss of reduction, nonunions, or infections occurred. Within the average follow-up time of 14 months, the functional results (including an average motion of 76% and an average grip strength of 56% of the contralateral side) were comparable to those reported for similar fractures in previous investigations. Five patients had irritation of the tendons in the second dorsal compartment. This trial serves both as a verification of the safety and efficacy of this distal radius plate as well as a demonstration of its utility in the treatment of complex fractures of the distal radius.
在一项前瞻性多中心试验中，使用一种专门设计用于处理复杂腕部病变的新型钢板，对22例患者的22处桡骨远端复杂骨折进行内固定。根据骨折综合分类，大多数骨折为C2型和C3型骨折。未发生钢板失效、复位丢失、骨不连或感染。在平均14个月的随访时间内，功能结果（包括平均活动度为对侧的76%，平均握力为对侧的56%）与先前研究中报道的类似骨折的结果相当。5例患者出现第二背侧间室肌腱激惹。该试验既验证了这种桡骨远端钢板的安全性和有效性，也证明了其在治疗桡骨远端复杂骨折中的实用性。
