掌侧切口治疗桡骨远端骨折

Palm Side Isde Incision for Treatmen of Radius Far-End Fracture

目的探讨桡骨远端掌侧切口的解剖特点及手术治疗.方法经掌侧切口采用6～8孔钢板或T形钢板内固定及植骨术,5例陈旧性不愈合者,一期取髂骨植骨.结果51例患者经切开复位及植骨术后,无需外固定,术后无骨折不愈合及延迟愈合,腕关节功能恢复满意.优良率为95.2%.结论桡骨远端掌面宽大而平坦,放置钢板容易,稳定,采取掌侧切口符合生理弧度,具有较好治疗效果.

Objective Explore the anatomical reatures of side incision at fow-end of radius and its operative treatment. Methods Side incision and internal fixation and bone implabtation with 6～8 hole sfed plate or T-shoped plate.5 old and non-healed cases are implanted with some ilium at first stape.Results Throuph palm side incision and reduction and bone implantation without exteunol fixation,51cases show that there are no symptoms of non-hedlimp or delay healinp ,the runction of articrlatio carpiis.recovered satisfactorily,and excellence is up to 95.2%.Conclusion The far-end surface of radius is wide and flat,so it is eoy for steel plate to be plaued and stabilised,and palm side incisiow will coincide with physiologicocl curve,so the curative effect is satisfactory。