CAJ | 학술논문

目的探讨应用T型锁定加压钢板治疗桡骨远端不稳定骨折的临床疗效.方法采用掌侧入路切开复位T型锁定加压钢板内固定治疗桡骨远端不稳定骨折32例.结果 32例均获得随访,平均随访时间12(8～18)个月.全部创口愈合良好,所有患者骨折均愈合.术后按Dienst评分标准评价腕关节功能:优23例,良7例,可2例,优良率为93.75％(30/32).结论掌侧入路T型锁定加压钢板治疗桡骨远端不稳定骨折具有固定稳定、骨折愈合率高、并发症少、允许关节早期功能活动等优点,临床疗效满意,尤其适合骨质疏松患者.
목적 탐토응용T형쇄정가압강판치료뇨골원단불은정골절적림상료효.방법 채용장측입로절개복위T형쇄정가압강판내고정치료뇨골원단불은정골절32례.결과 32례균획득수방,평균수방시간12(8～18)개월.전부창구유합량호,소유환자골절균유합.술후안Dienst평분표준평개완관절공능:우23례,량7례,가2례,우량솔위93.75％(30/32).결론 장측입로T형쇄정가압강판치료뇨골원단불은정골절구유고정은정、골절유합솔고、병발증소、윤허관절조기공능활동등우점,림상료효만의,우기괄합골질소송환자.
Objective To evaluate a preliminary outcome of volar surgical treatment of dorsally displaced fractures of distal radius with open reduction and internal fixation with T shape locking compression plate.Methods From January 2009 to January 2012,32 cases with dorsally unstable distal radius fractures were treated with open reduction and internal fixation with T shape locking compression plate.Results All patients were followed; the average follow-up period was 12 (8-18) months.The patients all healed well.According to Dienst scoring system,the results were excellent in 23 cases,good in 7 cases,fair in 2 cases,the excellent and good rate was 93.75％(30/32).Conclusions The volar fixation of T shape locking compression plate for dorsally displaced fractures of distal radius has advantage of stable and reliable,high healing rate,low rate of complications and early motion.It is especially suitable for osteoporosis patients.