CAJ | 학술논문

目的探讨腕关节掌侧切口和解剖型钛板治疗AO/ASIF C型桡骨远端骨折的临床疗效.方法回顾性分析2007年6月至2011年6月采用腕掌侧切口和解剖型钛板治疗AO/ASIF C型桡骨远端骨折47例,其中C1型17例、C2型21例、C3型9例,均为闭合性骨折.结果 31例患者术后获平均1.5年(1～2.3年)的随访.患者中未发生感染、内固定松动断裂、腕管综合征、肌腱激惹、正中神经损伤等并发症,未见骨延迟愈合和骨不连.术后1年平均掌倾角为(7.5±1.8)°,尺偏角为(19.8±2.7)°.按照改良McBride评价标准评定:优18例,良10例,可3例；优良率为90.3％.结论经掌侧切口解剖型钛板治疗AO/ASIF C型桡骨远端骨折,术后并发症少,有利于早期功能锻炼,是治疗C型桡骨远端骨折的较好方法.
목적 탐토완관절장측절구화해부형태판치료AO/ASIF C형뇨골원단골절적림상료효.방법 회고성분석2007년6월지2011년6월채용완장측절구화해부형태판치료AO/ASIF C형뇨골원단골절47례,기중C1형17례、C2형21례、C3형9례,균위폐합성골절.결과 31례환자술후획평균1.5년(1～2.3년)적수방.환자중미발생감염、내고정송동단렬、완관종합정、기건격야、정중신경손상등병발증,미견골연지유합화골불련.술후1년평균장경각위(7.5±1.8)°,척편각위(19.8±2.7)°.안조개량McBride평개표준평정:우18례,량10례,가3례；우량솔위90.3％.결론 경장측절구해부형태판치료AO/ASIF C형뇨골원단골절,술후병발증소,유리우조기공능단련,시치료C형뇨골원단골절적교호방법.
Objective To evaluate the treatment outcomes of anatomic locking titanium plate fixation of AO/ASIF type-C fractures of the distal radius via a volar incision at the wrist.Methods A retrospective review was conducted of 47 cases of AO/ASIF type-C fractures of the distal radius treated from June 2007 to June 2011 using pre-shaped anatomic titanium plate fixation via a volar incision.All fractures were closed and according to AO/ASIF classification,there were 17 cases of type C1 fractures,21 type C2 fractures and 9 type C3 fractures.Results Follow-up was sufficient for 31 patients with an average of 1.5 years (range,1 to 2.3 years).The complications such as infection,loosening or breakage of implants,carpal tunnel syndrome,tendon irritation and median nerve injury did not occur in none of the 31 patients.There was no delayed union or nonunion.At one year postoperatively the average volar inclination angle was (7.5 ± 1.8)° while the ulnar deviation angle was (19.8 ± 2.7)°.According to the modified McBride evaluation criteria,the surgical results were rated as excellent in 18 cases,good in 10 cases and fair in 3 cases.The overall satisfactow rate was 90.3％.Conclusion AO/ASIF type-C fractures of the distal radius can be effectively treated with anatomically pre-shaped titanium plate fixation via a volar approach.The procedure has very few complications and allows early rehabilitation to facilitate functional recovery.