CAJ | 학술논문

目的：总结应用AO多角度锁定钢板治疗老年桡骨远端C型骨折的初步临床疗效。方法2011年3月至2014年2月，采用切开复位、AO多角度锁定钢板固定治疗47例老年桡骨远端C型骨折，其中男15例，女32例，患者平均67.5岁，其中Cl型20例，C2型16例，C3型11例。应用上肢功能（DASH）、Gartland和Werley评分进行功能评价及握力和腕关节运动范围评估。结果47例患者，其中43例获得6～12个月随访，平均8.3月，43例骨折均完全愈合，平均愈合时间7周。47例患者中，42例功能评定为优，无并发症。结论切开复位应用AO多角度锁定钢板是治疗骨质疏松性不稳定桡骨远端骨折的有效手段。
목적：총결응용AO다각도쇄정강판치료노년뇨골원단C형골절적초보림상료효。방법2011년3월지2014년2월，채용절개복위、AO다각도쇄정강판고정치료47례노년뇨골원단C형골절，기중남15례，녀32례，환자평균67.5세，기중Cl형20례，C2형16례，C3형11례。응용상지공능（DASH）、Gartland화Werley평분진행공능평개급악력화완관절운동범위평고。결과47례환자，기중43례획득6～12개월수방，평균8.3월，43례골절균완전유합，평균유합시간7주。47례환자중，42례공능평정위우，무병발증。결론절개복위응용AO다각도쇄정강판시치료골질소송성불은정뇨골원단골절적유효수단。
ObjectiveTodetermine the preliminary clinical effect of AO multiple-angle locking plateon thetreatment for the distal radius type C fractures in elderly people.MethodsBetweenMarch2011 andFebruary 2014,a total of47elderly patients who sustained distal radius type C fractures were admittedin our department and receivedopen reduction and AO multiple-angle locking plate. They were 15 males and 32 females, with an average age of 67.5 years: 20patients withtypeC1 fractures,16 with C2 and 11 with C3.Disabilities of Arm, Shoulder, and Hand (DASH) andGartland and Werley scoring system were used for clinical functional assessment of the grip strength and wrist motion range.ResultsWithin the 47 patients,43werefollowedupfor 6 to12(mean8.3)monthsand got fullyhealed finally, with anaveragehealingtime of 7 weeks.Forty-two patients had excellent functional assessment and no complication occurred during the follow-up periods. ConclusionOpen reduction and AO multiple-angle locking plateare effectiveapproaches for osteoporoticunstable distal radius fractures for the elderly patients.