CAJ | 학술논문

目的：观察外固定支架治疗桡骨远端粉碎性骨折的临床疗效。方法2010年1月至2013年1月我科应用外固定支架治疗桡骨远端粉碎性骨折63例，按AO分类，A3型19例，C2型23例，C3型21例。手术方法中单纯手法复位加外固定支架52例，经皮钢针撬拨复位加外固定支架11例。关节功能疗效按Dienst功能评估标准进行评价。结果所有患者均获得随访，随访时间6～18个月，平均11．8个月。骨折全部获得愈合，平均愈合时间为8周。按Dienst功能评分标准，优34例，良21例，可8例。结论外固定支架固定牢靠，可防止骨折再移位和桡骨短缩畸形，能早期开始腕关节功能锻炼，是治疗桡骨远端粉碎性骨折的有效方法。
목적：관찰외고정지가치료뇨골원단분쇄성골절적림상료효。방법2010년1월지2013년1월아과응용외고정지가치료뇨골원단분쇄성골절63례，안AO분류，A3형19례，C2형23례，C3형21례。수술방법중단순수법복위가외고정지가52례，경피강침효발복위가외고정지가11례。관절공능료효안Dienst공능평고표준진행평개。결과소유환자균획득수방，수방시간6～18개월，평균11．8개월。골절전부획득유합，평균유합시간위8주。안Dienst공능평분표준，우34례，량21례，가8례。결론외고정지가고정뢰고，가방지골절재이위화뇨골단축기형，능조기개시완관절공능단련，시치료뇨골원단분쇄성골절적유효방법。
Objective To observe the clinical curative effect of external fixation in treating comminuted distal radius fracture.Methods From January 2010 to January 2013, 63 patients with comminuted distal radius fractures were treated by external fixator.According to AO classification, 19 fractures were A3 type, 23 C2 and 21 C3.Reduction was achieved and maintained in 52 cases by longitudinal traction and external fixation, 11 by external fixator with percutaneous K-wire.The joint function was assessed by Dienst criteria.Results Followed-up duration averaged 11.8 months (6 to 18 months).All fractures healed, the average healing time was 8 weeks. Dienst criteria showed excellent in 34 cases, good in 21 and fair in 8.Conclusions External fixator is an effective method to treat distal radius comminuted fractures, it has the advantage of secure fixation, preventing displacement and radial shortening deformity and wrist can exercise early.