摘要
目的探讨桡骨远端截骨治疗桡骨远端骨折畸形愈合的临床疗效。方法从2003年1月~2006年8月,对12例桡骨远端骨折畸形愈合患者,背侧入路行桡骨远端截骨、自体髂骨移植、“T”型钢板螺钉内固定。结果随访10~21个月,平均14.6个月。X线片示桡骨远端畸形矫正良好,根据改良的Mcbridge腕关节功能评分标准,术后腕关节功能明显改善,与术前腕关节功能评分相比,差异具有统计学意义(P〈0.05)。结论桡骨远端截骨是治疗桡骨远端骨折畸形愈合的有效治疗方法。
Objective To study the clinical efficacy of radial corrective osteotomy in treating distal radius malunion.Methods From January 2003 to August 2006,12 patients with distal radius malunion were treated with radial corrective osteotomy,autologous bone graft and T shape plate internal fixation through dorsal approach.Results All cases were followed up for 10 to 21 months and the average time was 14.6 months.The X-ray pictures showed that distal radius deformities were corrected properly.The functions of wrist were improved posteoperation and significant difference compared to peroperation according to modified Mcbide grading system.Conclusion Radial corrective osteotomy is one of the effective methods to treat distal radius malunion.
出处
《四川医学》
CAS
2008年第7期886-888,共3页
Sichuan Medical Journal
关键词
桡骨截骨矫形
桡骨远端骨折
畸形愈合
radial corrective osteotomy
distal radius fracture
malunion