掌背侧联合入路锁定加压钛板内固定治疗桡骨远端粉碎性骨折

Internal Fixation of Displaced Distal Radius Fractures with Locking Compression Plate Using Dorsal and Volar Approaches.

目的探讨锁定加压钛板内固定治疗桡骨远端骨折疗效。方法对2001～2006年间49例桡骨远端骨折经掌背侧联合入路锁定加压钛板内固定,钛板置于桡骨远端背侧,骨缺损严重者(20例)均置入人工骨(OsteoSet)。术后功能康复时间,6～24周,平均10.6周。结果随访6～24个月。按Dienst功能评估标准进行评定:优40例,良7例,差2例,优良率95.9%。结论掌背侧联合入路锁定加压钛板内固定治疗移位的桡骨远端骨折疗效显著。

Objective To study and evaluate the clinical effect of inter-fixtion with T-shaped Locking Compression Plate using dorsal and volar Approaches. Method 49 cases fracture of the distal radius were fixed with Locking Compression Plate using dorsal and volar Approaches in 2001 - 2006 and summarized. The plate was placed on the dorsal part of the distal radius. Osteoset, the artificial bone substitute, was implanted in 20 case of large bone defect. The posto- perative functional recovery ranged from 6 to 24weeks with an average of 10.6weeks. Results The period follow-up was 6 - 24 months. According to Dienst criteria of joint functions, the results showed that 40 cases were excellent, 7 cases good, 2 cases poor. The excellent-good rate reached 95,9 % Conclusion T-shaped Locking Compression Plate inter - fixtion for the distal radius needed operation from palm is an effective and reliable operation.