CAJ | 학술논문

目的探讨采用背侧入路复位、双板固定治疗桡骨远端粉碎性骨折的手术指征及疗效.方法采用背侧人路行骨折复位、植骨、双板固定治疗C型桡骨远端粉碎性骨折10例,其中男2例,女8例;患者平均年龄72岁.结果术后随访时间6～26个月,平均14个月,按照改良的Garland-Werley评分标准评定:平均为2分(0～12分),其中优5例、良4例、可1例.结论背侧双板固定治疗桡骨远端粉碎性骨折手术操作难度较高,但是背侧复位、植骨、固定更符合局部的解剖学特点和骨折的受伤机制,是治疗桡骨远端粉碎性骨折的有效方法之一.
목적 탐토채용배측입로복위、쌍판고정치료뇨골원단분쇄성골절적수술지정급료효.방법 채용배측인로행골절복위、식골、쌍판고정치료C형뇨골원단분쇄성골절10례,기중남2례,녀8례;환자평균년령72세.결과 술후수방시간6～26개월,평균14개월,안조개량적Garland-Werley평분표준평정:평균위2분(0～12분),기중우5례、량4례、가1례.결론 배측쌍판고정치료뇨골원단분쇄성골절수술조작난도교고,단시배측복위、식골、고정경부합국부적해부학특점화골절적수상궤제,시치료뇨골원단분쇄성골절적유효방법지일.
Objective To discuss the indications, methods and treatment outcomes of double plate internal fixation of comminuted distal radius fractures via a dorsal approach. Methods Ten patients of type C comminuted distal radius fractures were treated by dorsal approach reduction, bone graft and double plate internal fixation. Among them, 2 were male and 8 were female. The average age of the patients was 72 years. Results Postoperatively the patients were followed up for 6 to 26 month, with an average of 14 months. The mean Garland and Werley score was 2 (range 0 to 12). Results were considered excellent in 5 cases, good in 4 cases and fair in 1 case. Conclusion Dorsal double plate fixation for comminuted distal radius fracture is technically challenging. However dorsal reduction, bone grafting and fixation is more in line with the anatomy of distal radius and the injury mechanism. It is one of the most effective methods for treating this type of complex fractures.