桡骨远端骨折的手术治疗进展

Advances in operative management of distal radius fractures

本文查阅了手术治疗桡骨远端骨折的最新文献,报告其重点内容,探讨桡骨远端骨折新近的手术治疗进展。桡骨远端骨折有多种不同的手术治疗方法,包括掌、背侧联合切口双侧内固定,掌侧切开复位钢板内固定,锁定加压钢板内固定,背侧Pi形钢板内固定,支架外固定及关节镜下治疗等,治疗效果都较满意。桡骨远端骨折有众多的亚型,应根据不同的骨折类型选择适当的手术方法,以期获得最佳的疗效。

The latest literature concerning operative treatment for distal radius fracture was reviewed to find out the newest developments in this field. This paper summarizes bilateral internal fixation with combined palmar and dorsal incisions, dorsal open reduction and plate internal fixation, internal fixation with LCP （locking compression plate）, dorsal Pi-plate internal fixation combined with external fixators, and arthroscopic treatment of distal radius fractures, for they are reported to have reached excellent or good results. The reports show that each subtype of distal radius fractures merits a unique approach, because distinct fracture patterns result from different mechanisms of injury.