CAJ | 학술논문

目的：探讨不稳定性骨质疏松性桡骨远端骨折应用锁定加压钢板的效果。方法回顾分析48例不稳定型桡骨远端骨折患者资料，其中男性8例，女性40例；年龄58～77岁（平均63．7岁）。术前经双能 X 线均诊断为骨质疏松。根据 AO 分型标准，B2型12例，B3型10例，C1型8例，C2型13例，C3型5例。该组48例均采用掌侧入路 LCP 固定，均未植骨。从骨折愈合时间、掌倾角、尺偏角及挠骨茎突高度，以及术后18个月腕关节活动度来了解治疗效果。结果术后随访12～24个月，平均17．8个月。所有病例术后随访均未出现感染，均在术后6个月内获得愈合（3～7个月），骨折复位丢失2例，创伤性关节炎3例。根据Cooney 腕关节评分标准：优35例，良9例，可3例，差1例，优良率为92％。结论不稳定性骨质疏松性桡骨远端骨折应用掌侧入路锁定加压钢板治疗安全有效，术后较少出现并发症，更能早期功能锻炼，对骨质疏松性桡骨远端骨折是一个很好的选择。
목적：탐토불은정성골질소송성뇨골원단골절응용쇄정가압강판적효과。방법회고분석48례불은정형뇨골원단골절환자자료，기중남성8례，녀성40례；년령58～77세（평균63．7세）。술전경쌍능 X 선균진단위골질소송。근거 AO 분형표준，B2형12례，B3형10례，C1형8례，C2형13례，C3형5례。해조48례균채용장측입로 LCP 고정，균미식골。종골절유합시간、장경각、척편각급뇨골경돌고도，이급술후18개월완관절활동도래료해치료효과。결과술후수방12～24개월，평균17．8개월。소유병례술후수방균미출현감염，균재술후6개월내획득유합（3～7개월），골절복위주실2례，창상성관절염3례。근거Cooney 완관절평분표준：우35례，량9례，가3례，차1례，우량솔위92％。결론불은정성골질소송성뇨골원단골절응용장측입로쇄정가압강판치료안전유효，술후교소출현병발증，경능조기공능단련，대골질소송성뇨골원단골절시일개흔호적선택。
Objective To evaluate the effect of locking compression plate for treatment in the osteoporotic of unstable distal radius fractures.Methods 48 cases of osteoporotic of unstable distal radius fractures were treated with open reduction and LCP fixation through volar approach.They were 8 men and 40 women aged from 58 to 77 years (range,63.7 years).They were all diagnosed by dual energy X ray absorptiometry before operation.According to AO/OTA criterion,there were 12 patients with type B2 fractures,10 cases with type B3,8 cases with type C1,13 cases with type C2,5 cases with type C3.All patients were performed locking plate fixations through volar approach and no bone graf.All patients were assessed from time of fracture healing,palmar tilt,radiographic measurements of ulnar inclination,radial height,and range of motion after 18 months,to evaluate the effect of clinical results and postopera-tive functional recovery.Results The patients were followed up for average 17.8 months (range,12 -24 months). All fratures united within 6 months (3 to 7 months),no infection in all patients,reduction loss in 2 cases after operation,traumatic arthritis in three.According to the Cooney criterion,the result was excellent in 35 pateints,good in 9 cases,fair in 3 cases and poor in 1 case,and the excellence rate was 92%.Conclusion The valor approach with locking compression plate can provide firm fixation and allow early functional exercise and so is suitable for unstable distal radius fracture especially in the osteoporotic of unstable distal radius fractures.