桡骨远端骨折的临床治疗分析

Clinical analysis on the treatment of fracture of the distal radius

目的探讨各型桡骨远端骨折的治疗方法。方法2003年4月-2007年9月治疗125例桡骨远端骨折,根据AO分型为A、B、C3型,分别采用闭合手法复位小夹板外固定及石膏外固定、切开复位"T"形钢板或克氏针内固定4种固定方法,分别进行骨折的复位配合中药治疗并行其功能评价。结果125例患者术后均获随访,随访时间5～21个月,平均8个月。保守治疗组58例关节面平整,16例仍有轻度的不平整移位。优56例,良11例,可7例,优良率90.5%。手术组51例关节面平整,桡骨轴向无缩短。根据关节功能评估标准:优39例,良9例,可3例,优良率94.5%。结论桡骨远端骨折多数是稳定的关节外骨折,传统的手法复位外固定是一种有效的治疗方法,但对于关节面移位骨折需行手术治疗。

Objective To evaluate the method of treatment in patients with fracture of the distal radius. Methods 125 patients were randomly divided into 3 groups according to the AO typing. All patients were treated by the closed technique to reposition outside separately the small clamping plank fixed and outside the gypsum fixed, the incision replacement ＂T＂ in the shape steel plate or the Cleveland needle the fixed 4 fixed methods. Meanwhile herbal medicine was administered to them whose function was evaluated later. Results 125＇ example patient technique attains the revisit, the revisit time 5 - 21 months, the average 8 months. The conservative treatment group 58 example facies articularises are smooth, 16 examples still had mildly shift not smoothly. Superior 56 examples, good 11 examples, but 7 examples, fine rate 90. 5%. The surgery group 51 example facies articularises are smooth, the radius axial does not have reduces. According to joint function appraisal stand- ard： Superior 39 examples, good 9 examples, but 3 examples, fine rate 94. 5% o Conclusion The most of patients with the fracture of the distal radius belong to the type of bone fracture outside the stable joint, and the traditional technique reduction fixed is one effective method of treatment. But it is necessary to choose the treatment of surgery for the joint planar translation bone fracture.