CAJ | 학술논문

桡骨远端骨折指的是距离桡骨远端关节面3cm内的骨折，是一类临床很常见的骨折类型，大约占成人全部骨折中的15%[1]，随着人口老龄化，高龄患者的发生率亦越来越高。桡骨远端骨折大体可分为关节外骨折与关节内骨折，前者又可根据远端骨折块的移位及成角关系分为Colles骨折与Smith骨折；后者则命名为Barton骨折。根据AO分型，若为关节外骨折且移位不明显者，完全可以行手法复位，石膏或夹板外固定治疗即可；然而对于关节内骨折，特别是关节面粉碎性骨折，则需要手术解剖复位，以恢复日后腕关节的功能。桡骨远端骨折切开复位手术入路一直以来较为多样化，每种入路亦有其优缺点，在此，文章针对桡骨远端骨折切开复位手术的入路做综述。
뇨골원단골절지적시거리뇨골원단관절면3cm내적골절，시일류림상흔상견적골절류형，대약점성인전부골절중적15%[1]，수착인구노령화，고령환자적발생솔역월래월고。뇨골원단골절대체가분위관절외골절여관절내골절，전자우가근거원단골절괴적이위급성각관계분위Colles골절여Smith골절；후자칙명명위Barton골절。근거AO분형，약위관절외골절차이위불명현자，완전가이행수법복위，석고혹협판외고정치료즉가；연이대우관절내골절，특별시관절면분쇄성골절，칙수요수술해부복위，이회복일후완관절적공능。뇨골원단골절절개복위수술입로일직이래교위다양화，매충입로역유기우결점，재차，문장침대뇨골원단골절절개복위수술적입로주종술。
Distal radius fracture refers to fracture within a distance of 3cm distal radius articular surface, it is a very common type of clinical fracture type, accounting for adults of all fractures in 15%[1], as the population ages, elderly patients the incidence is also increasing. Distal radius fractures can be divided into extra-articular fractures and intra-articular fracture, the former can be divided into Colles fracture Smith fracture and the shift of the distal fragment and angled relationship; the latter named Barton fractures. According to AO classification, if it is extra-articular fracture and displacement obvious, completely manual reduction, plaster or splints treatment can; however, for intra-articular fractures, especially comminuted articular surface, you need Surgical reset to restore the function of the wrist later. Distal radius fracture open reduction surgery has been more diversified approach, each approach has its advantages and disadvantages, in this article for distal radial fractures open reduction surgery of the road do a review.