CAJ | 학술논문

目的：总结外固定支架治疗桡骨远端骨折的效果。方法采用外固定支架治疗32例桡骨远端骨折患者，其中 A3型3例，B1型5例，B2型7例，B3型4例，C1型6例，C2型5例，C3型2例。伤后至手术时间2～5 d。结果患者均获随访，时间3～14个月。骨折均解剖复位。按 Gartland-Werley 标准进行腕关节功能评定：优24例，良5例，可3例，优良率为90．6％。无钉道感染、神经血管损伤等并发症。3例发生关节僵硬，经积极功能锻炼后症状好转。结论外固定支架治疗桡骨远端骨折能达到解剖复位，手术固定可靠，效果满意。
목적：총결외고정지가치료뇨골원단골절적효과。방법채용외고정지가치료32례뇨골원단골절환자，기중 A3형3례，B1형5례，B2형7례，B3형4례，C1형6례，C2형5례，C3형2례。상후지수술시간2～5 d。결과환자균획수방，시간3～14개월。골절균해부복위。안 Gartland-Werley 표준진행완관절공능평정：우24례，량5례，가3례，우량솔위90．6％。무정도감염、신경혈관손상등병발증。3례발생관절강경，경적겁공능단련후증상호전。결론외고정지가치료뇨골원단골절능체도해부복위，수술고정가고，효과만의。
Objective To evaluate the therapeutic effect of treatment of distal radius fractures with external fixation. Methods A total of 32 patients with distal radius fractures were treated by external fixation.According to AO classi-fication,3 fractures were A3,5 of B1,7 of B2,4 of B3,6 of C1,5 of C2,2 of C3.Results All cases were fol-lowed up for 3 ~14 months.All fractures got anatomical reduction by operation.According to Gartland-Werley sco-ring system,24 patients were rated as excellent,5 good,3 fair.The rate of excellent and good was 90.6%.No cases of pin tract infection,neural and vascular injury was found.3 cases had wrist joint stiffness,all cases were relieved by active function training.Conclusions The application of external fixation has advantages of effective fixation and fewer complications,it is one of the idea choices to treat distal radius fractures.