“T”形锁定加压钢板治疗桡骨远端骨折

T shape locking compression plate fixation of intra-articular fractures of distal radius

目的探讨应用锁定加压接骨板(lockingcompressionplate,LCP)治疗桡骨远端骨折的临床疗效。方法对16例桡骨远端骨折行切开复位LCP内固定,术后早期功能锻炼。结果术后随访7～15个月,平均10个月,所有患者均获得骨性愈合。按照改良McBride评分和纽约骨科医院腕关节评估标准,优14例,良2例,无并发症发生。结论LCP治疗桡骨远端骨折临床疗效满意,尤其对于不稳定型以及骨质疏松性桡骨远端骨折,能够牢固维持复位,有利于患肢早期功能锻炼。

Objective:To study the clinical outcomes of treatment using T shape locking compression plate in comminuted and intra-articular fractures of distal radius.Method:Sixteen cases of distal radial fractures were treated with open reduction and internal fixation with T shape locking compression plate,and got early functional exercises postoperatively.Result:All the patients were followed up for 7 to 15 months with an average of 10 months.Union was obtained in all the patients.The clinical outcomes was evaluated according to modified McBride grading.Fourteen cases were graded as excellent and 2 as good.No complication was found.The overall satisfactory rate was 100%.Conclusion: T shape locking compression plate has been proven as a safe and effective implant for treatment of fractures of the distal radius.It is especially suitable for patients with osteoporosis and unstable fractures of the distal radius,in that it can firmly hold the reduced fracture segments and facilitate early postoperative rehabilitation.