桡骨远端骨折的手术治疗

Surgical treatment of distal radius fracture

目的总结桡骨远端骨折的手术治疗方法及疗效。方法采用背侧接骨板内固定、掌侧T形接骨板内固定或外固定架治疗桡骨远端骨折73例,其中植骨9例。结果73例全部获得随访,时间6-41个月。所有病例骨折愈合良好,无不愈合或延迟愈合。采用改良Mcbride评分和纽约骨科医院腕关节评估标准：优49例,良18例,可6例,优良率为91.78%。结论选择合适的手术方法治疗不同类型的桡骨远端骨折,使内固定稳妥可靠,可早期功能锻炼。

Objective To evaluate the efficacy of various fixation methods for fractures of distal radius. Methods 73 patients with distal radius fractures treated with dorsal plate fixation, volar plate fixation or external fixation were reviewed. 9 of these patients underwent bone grafting. Results All patients were followed up for 6 - 41 months. Bony union was achieved in all patients, There was no delayed union or non-union was found. According to the modified Mcbride and New York Orthopaedic Hospital wrist function evaluation grading, 49 patients was graded as excellent, 18 good and 6 fair and the ecellent or good rate was 91.78%. Conclusions The operative treatment of choice for patients with distal radius fractures should be considered based on the types of fractures, which is very important to ensure better efficacy and reliable fixation to allow early joint motion.