CAJ | 학술논문

目的观察采用切开内固定联合外固定架法治疗桡骨远端关节内骨折的临床效果.方法 80例采用切开内固定联合外固定架法治疗的桡骨远端关节内骨折患者,术后进行康复锻炼,骨折愈合后拆除外固定架.对所有患者进行随访,时间为8～12个月,平均9.2个月,按照Dienst腕关节功能系统评定治疗效果.结果 80例患者关节内骨折全部愈合,所需时间为4 ～ 10个月,平均6.3个月.腕关节功能优51例,良21例,可8例,优良率为90％(72/80).临床上骨折手术后常见的并发症均未出现.结论切开内固定联合外固定架法治疗桡骨远端关节内骨折既能使骨折复位、固定满意,又有利于术后早期手腕部的功能康复锻炼.
목적 관찰채용절개내고정연합외고정가법치료뇨골원단관절내골절적림상효과.방법 80례채용절개내고정연합외고정가법치료적뇨골원단관절내골절환자,술후진행강복단련,골절유합후탁제외고정가.대소유환자진행수방,시간위8～12개월,평균9.2개월,안조Dienst완관절공능계통평정치료효과.결과 80례환자관절내골절전부유합,소수시간위4 ～ 10개월,평균6.3개월.완관절공능우51례,량21례,가8례,우량솔위90％(72/80).림상상골절수술후상견적병발증균미출현.결론 절개내고정연합외고정가법치료뇨골원단관절내골절기능사골절복위、고정만의,우유리우술후조기수완부적공능강복단련.
Objective To investigate the clinical effect internal fixation combined with external fixator incision in the treatment of intra-articular fractures of the distal radius.Methods 80 cases of intra-articular distal radius fracture patients underwent cut internal fixation combined with external fixator in the treatment of orthopedic were chosen,postoperative rehabilitation exercises,fracture healing after the removal of the external fixator.All patients were followed up for 8 months to 12 months,an average of 9.2 months.Results 80 patients were intraarticular fractures healed,the time required was 4 to 10 months,an average of 6.3 months.In accordance with the assessment of functional systems Dienst wrist,51 cases wrist function were excellent,21 cases were good,the good rate was 90％ (72/80).There were no clinical fractures common complication after surgery.Conclusion Open internal fixation combined with external fixator treatment of intra-articular fractures of the distal radius fractures not only makes reduction of fracture and immobilization satisfaction,but also conducive to the wrist of early postoperative functional rehabilitation exercise.