中华骨与关节外科杂志
中華骨與關節外科雜誌
중화골여관절외과잡지
Chinese Journal Bone and Joint Surgery
2015年
2期
157-160
,共4页
姜新华%禹宝庆%王永安%顾龙殿
薑新華%禹寶慶%王永安%顧龍殿
강신화%우보경%왕영안%고룡전
桡骨骨折%骨板%骨折固定术,内%治疗效果
橈骨骨摺%骨闆%骨摺固定術,內%治療效果
뇨골골절%골판%골절고정술,내%치료효과
Radius fractures%Bone plates%Fracture fixation,internal%treatment outcomes
背景：掌侧柱锁定接骨板已经广泛应用于桡骨远端骨折，尤其在桡骨远端C型骨折。目的：探讨掌侧柱锁定接骨板治疗桡骨远端C型骨折的疗效。<br> 方法：回顾分析2011年5月至2013年6月采用掌侧柱锁定接骨板治疗并获完整随访的38例桡骨远端C型骨折患者的临床资料，男12例，女26例；年龄40~77岁，平均59岁。根据AO骨折分型：C1型9例，C2型18例，C3型11例。全部患者均采用掌侧入路，掌侧柱锁定接骨板固定，术后定期随访，观察骨折愈合情况及腕关节功能结果。<br> 结果：38例患者术后获得6~31个月（平均15个月）随访；骨折愈合时间4~10周，平均8周。2例背侧骨片轻度移位，其余患者骨折均获解剖复位。腕关节VAS评分：完全无痛32例，中度疼痛1例，轻度疼痛5例。按改良的Gartland-Wer-ley评分：优23例，良12例，可3例。<br> 结论：掌侧柱锁定接骨板符合桡骨远端“分水岭”的解剖结构，能够牢固固定桡骨远端C型骨折并维持骨折复位。
揹景：掌側柱鎖定接骨闆已經廣汎應用于橈骨遠耑骨摺，尤其在橈骨遠耑C型骨摺。目的：探討掌側柱鎖定接骨闆治療橈骨遠耑C型骨摺的療效。<br> 方法：迴顧分析2011年5月至2013年6月採用掌側柱鎖定接骨闆治療併穫完整隨訪的38例橈骨遠耑C型骨摺患者的臨床資料，男12例，女26例；年齡40~77歲，平均59歲。根據AO骨摺分型：C1型9例，C2型18例，C3型11例。全部患者均採用掌側入路，掌側柱鎖定接骨闆固定，術後定期隨訪，觀察骨摺愈閤情況及腕關節功能結果。<br> 結果：38例患者術後穫得6~31箇月（平均15箇月）隨訪；骨摺愈閤時間4~10週，平均8週。2例揹側骨片輕度移位，其餘患者骨摺均穫解剖複位。腕關節VAS評分：完全無痛32例，中度疼痛1例，輕度疼痛5例。按改良的Gartland-Wer-ley評分：優23例，良12例，可3例。<br> 結論：掌側柱鎖定接骨闆符閤橈骨遠耑“分水嶺”的解剖結構，能夠牢固固定橈骨遠耑C型骨摺併維持骨摺複位。
배경：장측주쇄정접골판이경엄범응용우뇨골원단골절，우기재뇨골원단C형골절。목적：탐토장측주쇄정접골판치료뇨골원단C형골절적료효。<br> 방법：회고분석2011년5월지2013년6월채용장측주쇄정접골판치료병획완정수방적38례뇨골원단C형골절환자적림상자료，남12례，녀26례；년령40~77세，평균59세。근거AO골절분형：C1형9례，C2형18례，C3형11례。전부환자균채용장측입로，장측주쇄정접골판고정，술후정기수방，관찰골절유합정황급완관절공능결과。<br> 결과：38례환자술후획득6~31개월（평균15개월）수방；골절유합시간4~10주，평균8주。2례배측골편경도이위，기여환자골절균획해부복위。완관절VAS평분：완전무통32례，중도동통1례，경도동통5례。안개량적Gartland-Wer-ley평분：우23례，량12례，가3례。<br> 결론：장측주쇄정접골판부합뇨골원단“분수령”적해부결구，능구뢰고고정뇨골원단C형골절병유지골절복위。
Background:Volar locking plate has been widely applied in distal radius fractures, especially in type C distal radius fractures. <br> Objective:To evaluate clinical outcomes of type C radial fractures fixed by volar locking plate. <br> Methods:From May 2011 to June 2013, 38 patients with type C distal radial fracture were treated with volar locking plate. They were 12 men and 26 women with an average age of 59 years (range, 40-77 years). According to the AO classification, there were 9 cases of type C1, 18 of type C2 and 11 of type C3. All fractures were fixed through volar approach. The bone healing and wrist joint function were observed during follow-up. <br> Results:The mean follow up period was 15 months (range, 6-31 months). The fractures were healed 8 weeks (range, 4-10 weeks) after surgery. Wrist VAS score:There were 32 cases without pain, one with moderate pain, 5 with mild pain. Treat-ment outcome was excellent in 23 cases, good in 12 and fair in 3 according to the Gartland-Werley scoring system. <br> Conclusions:Volar locking plate is fit for the line with the watershed of distal radius anatomy. The type C distal radius frac-ture can be firmly fixed by the plate and satisfactory curative effect can be achieved.
