Leibovic S J
Department of Orthopedic Surgery, Medical College of Virginia, Richmond, USA.
Hand Clin. 1997 Nov;13(4):665-80.
Distal radius fractures are common fractures that can cause significant disability. As techniques and implants have improved, better results can be expected from internal and external fixation of complex wrist fractures. With meticulous technique, articular alignment can be secured and small articular fragments can be replaced in anatomic locations through limited open or arthroscopic techniques. Bone graft should be used liberally in comminuted articular fractures. Such procedures are demanding, however. Familiarity with the techniques described in this article will enhance the surgeon's ability to restore function in this group of patients.
桡骨远端骨折是常见骨折，可导致严重残疾。随着技术和植入物的改进，复杂腕部骨折的内固定和外固定有望取得更好的效果。通过精细的技术，可以确保关节对位，并且可以通过有限切开或关节镜技术将小的关节碎片放回解剖位置。在粉碎性关节骨折中应大量使用骨移植。然而，这些手术要求较高。熟悉本文所述技术将提高外科医生恢复这类患者功能的能力。
