CAJ | 학술논문

目的:探讨前臂双骨折的手术治疗方法及疗效.方法:对35例前臂双骨折病人进行手术治疗,手术分别采用前臂尺骨背侧入路及桡骨掌侧入路,分别放置前臂自动加压(DCP或LC-DCP)接骨板或锁定钢板(LCP),钻孔旋入螺钉内固定.术后依骨折固定牢固程度决定是否加用外固定.结果:所有病人半年后X线片见骨折均愈合,前臂旋转功能满意.结论:钢板内固定治疗前臂双骨折能有效地恢复前臂的旋转功能,但需掌握好手术指征和手术技巧.桡骨骨折的掌侧手术入路能有效避开桡神经深支的损伤.
목적:탐토전비쌍골절적수술치료방법급료효.방법:대35례전비쌍골절병인진행수술치료,수술분별채용전비척골배측입로급뇨골장측입로,분별방치전비자동가압(DCP혹LC-DCP)접골판혹쇄정강판(LCP),찬공선입라정내고정.술후의골절고정뢰고정도결정시부가용외고정.결과:소유병인반년후X선편견골절균유합,전비선전공능만의.결론:강판내고정치료전비쌍골절능유효지회복전비적선전공능,단수장악호수술지정화수술기교.뇨골골절적장측수술입로능유효피개뇨신경심지적손상.
Objective:to probe into the clinical methods and effect of the operative treatment of the shaft fractures of radius and ulna.Methods:35 patients with the shaft fractures of radius and ulna were operated.The operations were conducted by cutting from the hack side of cubitus ulna and the palm side of radius respectively to place the blade plate of DCP or LCP,drill and spin screws to obtain internal fixation.After operations,adding external fixation depends on the fasmess of fracture fixation.Results:Photos of x- ray showed that all the patients were cured with pleasing forearm rotation half a year later.Conclusions:The treatment of the shaft fractures of radius and ulna using plate to obtain internal fixation can effectively recuperate the forearm's rotating function.However,during the operations operating indications should he paid enough attention and good skills are highly required.Cutting from the palm side of radius can avoid injuring the deep branch of radial nerve.