CAJ | 학술논문

目的探讨固定角度掌侧接骨板结合克氏针治疗不稳定桡骨远端骨折的临床效果.方法 2005年1月至2007年12月对19例不稳定桡骨远端骨折采用切开复位固定角度掌侧接骨板结合克氏针固定治疗,随访临床效果.结果所有患者随访5-14个月,平均11个月,所有患者均骨性愈合,愈合时间5-16周,平均愈合时间9.6周.掌倾角5°～12°,平均9.4°;尺偏角18°～24°,平均21°.6例轻度疼痛,4例活动受限,平均屈伸角度121°,平均握力为健侧的84.2%,桡骨长度得到恢复,关节面台阶＜1 mm.Cooney腕关节评分:优4例,良13例,可2例,优良率89.5%.结论固定角度掌侧接骨板结合克氏针固定治疗不稳定桡骨远端骨折,可以获得满意的临床效果.
목적 탐토고정각도장측접골판결합극씨침치료불은정뇨골원단골절적림상효과.방법 2005년1월지2007년12월대19례불은정뇨골원단골절채용절개복위고정각도장측접골판결합극씨침고정치료,수방림상효과.결과소유환자수방5-14개월,평균11개월,소유환자균골성유합,유합시간5-16주,평균유합시간9.6주.장경각5°～12°,평균9.4°;척편각18°～24°,평균21°.6례경도동통,4례활동수한,평균굴신각도121°,평균악력위건측적84.2%,뇨골장도득도회복,관절면태계＜1 mm.Cooney완관절평분:우4례,량13례,가2례,우량솔89.5%.결론 고정각도장측접골판결합극씨침고정치료불은정뇨골원단골절,가이획득만의적림상효과.
Objective To summarize our experience of treating unstable fractures of distal radius by fixed-angle volar plates combined with Kirsehner-wires. Methods Nineteen patients with unstable fractures of distal radius were treated by fixed-angle volar plate fixation combined with Kirschner-wires. They were followed up for wrist motion evaluation and radiographic examinmion. Results All cases were followed up for 5 to 14 (mean, 11) months. All fractures healed within 5 to 16 weeks. Their volar tilt angles ranged 5°to 12°and radial inclination 18°to 24°.Six cases reported slight pain and 4 cases limited motion. According to the Cooney rating scale,4 cases were excellent,13 cases good and 2 cases fair. Conclusion Fixed-angle volar plating combined with Kirschner-wiring can achieve satisfactory effects in treatment of unstable fractures of distal radius.