CAJ | 학술논문

目的：探索桡骨远端高速、高能量性损伤的治疗方法。方法：通过应用“外固定支架+有限切开复位内固定+取髂骨植骨术”对36例桡骨远端高速、高能量性损伤的患者进行治疗。结果：82例患者随访1~16个月，平均8个月，两组手术时间、术中出血量、住院时间、骨折愈合时间、并发症差异无统计学意义（P＞0.05）。结论“：外固定支架+有限切开复位内固定+取髂骨植骨术”是一种治疗饶骨远端高速、高能量性损伤的方法，具有较大临床推广价值。
목적：탐색뇨골원단고속、고능량성손상적치료방법。방법：통과응용“외고정지가+유한절개복위내고정+취가골식골술”대36례뇨골원단고속、고능량성손상적환자진행치료。결과：82례환자수방1~16개월，평균8개월，량조수술시간、술중출혈량、주원시간、골절유합시간、병발증차이무통계학의의（P＞0.05）。결론“：외고정지가+유한절개복위내고정+취가골식골술”시일충치료요골원단고속、고능량성손상적방법，구유교대림상추엄개치。
objective To explore the treatment method of high speed,high energy damage distal radius. Method 36 cases with high speed,high energy damage distal radius were given“External fixator and limited open reduction and internal fixation and iliac bone graft ex-traction”. Results 82 cases of postoperative follow-up of 1 to 16 months,an average of eight months. Two groups of operation time,intraoper-ative blood loss,hospital stay,osseous healing time,postoperative complications,there were no statistically significant difference ( P>0. 05 ) . Conclusion“External fixator and limited open reduction and internal fixation and iliac bone graft extraction”in the treatment of high speed,high energy damage distal radius,which is value of applying in clinic.