CAJ | 학술논문

目的探讨桡骨远端粉碎性骨折的手术治疗方法与临床疗效.方法对35例手术治疗的桡骨远端粉碎性骨折资料进行分析,按AO原则分类,根据不同的类型采用T形钛板螺钉内固定、简单内固定加石膏外固定.结果 35例患者均获得随访,骨折全部于3个月内愈合,术后x线评估结果满意.疗效优24例,良6例,可4例,差l例,优良率88.6%.结论桡骨远端粉碎性骨折通过手术内固定的方法,可以充分显露骨折,便于恢复桡骨与尺骨的相对长度、关节面的平整、掌倾角与尺偏角,固定确切,术后早期功能锻炼,使腕关节功能达到最大的恢复.
목적 탐토뇨골원단분쇄성골절적수술치료방법여림상료효.방법 대35례수술치료적뇨골원단분쇄성골절자료진행분석,안AO원칙분류,근거불동적류형채용T형태판라정내고정、간단내고정가석고외고정.결과 35례환자균획득수방,골절전부우3개월내유합,술후x선평고결과만의.료효우24례,량6례,가4례,차l례,우량솔88.6%.결론 뇨골원단분쇄성골절통과수술내고정적방법,가이충분현로골절,편우회복뇨골여척골적상대장도、관절면적평정、장경각여척편각,고정학절,술후조기공능단련,사완관절공능체도최대적회복.
Objective To evaluate the clinical outcome of surgical treatment of comminuted fractures of the distal radius. Method Thirty-five cases with comminuted fractures of the distal radius encountered. According to the principle of A0,and the different types of classification by T-shaped titanium plate fixation,simple screw internal with gypsum external fixation. Results 35 patients were obtained for all,fracture healing in 3 months after X-ray evaluation with satisfactory results. 24 cases, the optimum effect can be good,4 cases, poor, 1 case with excellent nate. reached 88.6%. Conclusion Distal radial comminuted fracture fixation by surgical method,can fully revealed fractures, facilitate recovery of radial and make the flatness of the relative length,joint hands and feet,landfrom,fixed angle and postoperative early functional exercise,make the wrist joint function to achieve maximum recovery.