CAJ | 학술논문

目的探讨应用掌侧锁定加压接骨板(LCP)结合人工骨植骨治疗桡骨远端粉碎性骨折的临床疗效.方法 2011年1月至2013年8月期间在我院行掌侧LCP结合人工骨植骨,治疗A3、C2、C3型桡骨远端粉碎性骨折45例.术前及术后测量掌倾角、尺偏角、桡骨轴向短缩及关节面台阶程度.结果所有患者均获得6～18个月的随访,平均12个月,骨折均获得骨性愈合,人工骨无不良反应;各影像学数据较术前均有明显改善;按Gartland-Werley评分标准评定,A3型优良率为94.4％、C2型优良率为87.5％、C3型优良率为81.8％.结论应用掌侧LCP结合人工骨植骨治疗A3、C2、C3型桡骨远端粉碎性骨折,能够恢复桡骨长度,获得坚强内固定.
목적 탐토응용장측쇄정가압접골판(LCP)결합인공골식골치료뇨골원단분쇄성골절적림상료효.방법 2011년1월지2013년8월기간재아원행장측LCP결합인공골식골,치료A3、C2、C3형뇨골원단분쇄성골절45례.술전급술후측량장경각、척편각、뇨골축향단축급관절면태계정도.결과 소유환자균획득6～18개월적수방,평균12개월,골절균획득골성유합,인공골무불량반응;각영상학수거교술전균유명현개선;안Gartland-Werley평분표준평정,A3형우량솔위94.4％、C2형우량솔위87.5％、C3형우량솔위81.8％.결론 응용장측LCP결합인공골식골치료A3、C2、C3형뇨골원단분쇄성골절,능구회복뇨골장도,획득견강내고정.
Objective To investigate the clinical results of the application of volar locking compression plate combined with artificial bone grafting in the treatment of comminuted distal radial fractures.Methods From January 2011 to August 2013,45 cases of type A3,type C2 and type C3 comminuted distal radial fractures were treated with volar locking compression plate combined with artificial bone grafting.All the cases were closed fractures with radial shortening or articular surface collapse.Volar tilt angle,radial inclination angle,axial shortening of the radius and extent of joint surface step deformity were measured both pre and post operatively.Results All the patients were follow-up for 6 to 18 months,with an average of 12 months.Bone union was noted in all the cases.There was no adverse reaction to the artificial bone grafts.Radiographic parameters were significantly improved.The clinical results were evaluated using the Gartland-Werley wrist score and rated as excellent and good in 94.4％ of type A3 fractures,87.5％ of type C2 fractures,and 81.8％ of type C3 fractures.Conclusion Applying volar locking compression plate combined with artificial bone grafting can achieve rigid fixation and restore radial length in treating type A3,C2 and C3 comminuted distal radial fractures.