锁定加压钢板结合骨移植治疗桡骨远端粉碎性骨折

Treatment of comminuted intra-articular distal radius fractures by locking compression plate fixation and bone graft

目的研究锁定加压钢板结合骨移植治疗桡骨远端粉碎性骨折的方法及效果。方法对35例桡骨远端粉碎性骨折,按照AO骨折分型:C1型11例;C2型15例;C3型9例,分别予以掌侧或背侧入路,切开复位锁定加压钢板内固定结合植骨术治疗。结果35例术后随访6~18个月,骨折平均愈合时间8(6~12)周,全部创口愈合良好,无腕关节僵硬以及骨折再移位,疗效按改良M cB ride评分和纽约骨科医院腕关节评估标准[1]:优23例,良9例,可3例,优良率91.4%。结论对于累及关节面的粉碎性桡骨远端骨折,锁定加压钢板结合骨移植的应用可以获得确实可靠的疗效,恢复较为满意的腕关节功能。

Objective: To evaluate the treatment methods and results of open reduction,locking compression plate fixation and bone graft for comminuted intra-articular fractures of the distal radius.Methods: Thirty-five patients of comminuted intra-articular distal radius fractures were involved in this series.The fractures were classified as AO type-C1 in 11 cases,type-C2 in 15 cases,and type-C3 in 9 cases.The 35 patients were fixed by locking compression plate with bone grate via palmar or dorsal approach.Results: Fo...