CAJ | 학술논문

目的探讨T型接骨板掌侧入路治疗桡骨远端粉碎骨折的疗效. 方法从2003年3月始采用小"T"型钢板内固定治疗桡骨远端粉碎骨折37例.随访时间6～24个月(平均17个月).结果 X线片显示所有骨折均于12周内达临床愈合.根据ADL腕关节功能评定标准进行评估,优:29例;良:4例;可:3例:差:0例.优良率91.6%.腕关节的运动范围:背伸平均750°,掌屈平均70°,旋转0°～100°,尺偏平均40°,桡偏平均30°,均基本正常.并发症:2例有中等程度的创伤性关节炎表现,无感染病例. 结论作者认为对于桡骨远端不稳定骨折应采取积极的态度,尽早手术复位固定应早开始功能锻炼这对于桡骨不稳定骨折的治疗和获得较好的远期功能效果十分有意义.
목적 탐토T형접골판장측입로치료뇨골원단분쇄골절적료효. 방법종2003년3월시채용소"T"형강판내고정치료뇨골원단분쇄골절37례.수방시간6～24개월(평균17개월).결과 X선편현시소유골절균우12주내체림상유합.근거ADL완관절공능평정표준진행평고,우:29례;량:4례;가:3례:차:0례.우량솔91.6%.완관절적운동범위:배신평균750°,장굴평균70°,선전0°～100°,척편평균40°,뇨편평균30°,균기본정상.병발증:2례유중등정도적창상성관절염표현,무감염병례. 결론작자인위대우뇨골원단불은정골절응채취적겁적태도,진조수술복위고정응조개시공능단련저대우뇨골불은정골절적치료화획득교호적원기공능효과십분유의의.
Objective To study the clinical outcomes of treatment using T-plate and screws in comminuted intra-articular fractures of the distal radius. Methods 37 cases ofcomminuted intra-articular distal radial fractures were treated with open reduction and internal fixation from march,2003. All the patients were followed up for 6-24 months(average 17 mow ths). Results Evaluated by X-rays and ADL wrist function assessment,all the patients were clinical healed in 12 weeks. 29 cases were graded as excellent and 4 as good,and 3 fair. The overall satisfaction rate was 91.6%. The mean range of motion of the wrist reached 70° of flexion, 75°of extension,40° of ulnar deviation, 30° of radial deviation, 70° of pronation, and 65～ ofsupination. No severe complications were found. Conclusion Author think that we should take active attritude for comminuted intra-articular fractures of the distal radius. It is especially suitable for patients with osteoporosis in that it can firmly hold the reduced fracture segments and hence facilitate early postoperative rehabilitation.