CAJ | 학술논문

目的探讨锁定加压钢板(LCP)切开复位内固定治疗老年桡骨远端不稳定性骨折的效果。方法选择老年桡骨远端不稳定性骨折患者17例，手术行掌侧入路骨折切开复位、LCP内固定治疗并观察其疗效。结果 17例患者全部获得随访，随访时间7～16个月，平均12.6月。X线片示骨折于术后11.4周达临床愈合。根据腕关节功能及X线片测量进行综合评定：优12例，良4例，差1例，优良率94.1％。结论切开复位掌侧LCP内固定是治疗桡骨远端不稳定骨折的有效方法。
목적 탐토쇄정가압강판(LCP)절개복위내고정치료노년뇨골원단불은정성골절적효과。방법 선택노년뇨골원단불은정성골절환자17례，수술행장측입로골절절개복위、LCP내고정치료병관찰기료효。결과 17례환자전부획득수방，수방시간7～16개월，평균12.6월。X선편시골절우술후11.4주체림상유합。근거완관절공능급X선편측량진행종합평정：우12례，량4례，차1례，우량솔94.1％。결론 절개복위장측LCP내고정시치료뇨골원단불은정골절적유효방법。
Objective To study the clinical effect of locking compression plate fixation in treatment of the elders with unstable fractures of the distal radius. Methods 17 cases with unstable distal radius fractures were treated by volar locking compression plate. The function of the carpal joints and the bone healing conditions were evaluated after operations. Results All cases were followed-up for 7 to 16 months ( mean 12. 6 months). Union was obtained in all the patients after 11.4 weeks. The clinical outcomes were evaluated according to modified X-rays and wrist assessment. 12 cases were graded as excellent and 4 as good. 1 case were graded as poor. The overall satisfactory rate was 94. 1％. Conclusion The unstable distal radial fractures could be effectively treated with open reduction and LCP fixation through volar approach.