外固定架结合克氏针治疗桡骨远端骨折临床观察

Clinic observation of minimally invasive treatment by combination of external fixation with limited internal fixation for distal radius fractures

目的观察对桡骨远端骨折采用外固定架、克氏针治疗的临床疗效。方法对60桡骨远端骨折患者采用外固定架、克氏针治疗,观察其疗效。结果 60例患者均达解剖复位,术后获得2～3年随访,平均随访(2.3±0.4)年;骨折愈合时间为5～11周,平均(8.5±1.7)周;术后腕关节功能优34例,良18例,可8例,差0例,优良率86.67%。结论克氏针内固定基础上结合应用外固定支架对桡骨远端骨折患者疗效显著,患者远期腕关节功能康复良好。

Objective To explore the efficacy of minimally invasive treatment by combination of external fixation with limited internal fixa- tion for distal radius fractures. Methods Sixty patients with distal radius fractures were treated by minimally invasive treatment by combination of external fixation with limited internal fixation. The treatment efficacy was analyzed after followed - up. Results All of the 60 cases achieved ana- tomical reduction after the operation. Followed up for 2 - 3 years （ mean, 2.3 ± 0.4 years） , the time of fracture cure was 5 ± 11 weeks （ mean, 8. 5 ±1.7 weeks）. Thirty - four patients achieved excellent, 18 were good, the rate of excellent and good results was 86.67 %. Conclusion Exter- nal fixation combined with limited internal fixation was an effective method of treatment of the distal radius fractures.