锁定钢板治疗桡骨远端粉碎性骨折

Treatment for distal comminuted fracture of radius with locking plate

目的探讨锁定钢板治疗桡骨远端粉碎性骨折的疗效。方法 2006年8月～2009年10月运用T型锁定钢板治疗23例桡骨远端粉碎骨折,男15例,女8例;年龄18～67岁,平均42.3岁;平地摔伤2例,高处坠落伤6例,交通伤11例,重物砸伤4例;闭合骨折17例,开放骨折6例(按Gustilo分型Ⅰ型4例、Ⅱ型2例);受伤至手术时间1～15d,平均6.7d;17例取自体髂骨植骨充填。结果获随访6～15月,平均10.2月。采用Dienst功能评估标准,优良率达82.6%。结论运用T型锁定钢板不但能有效固定骨折,还可早期进行功能锻炼,是一种较好的治疗方法。

[Objective ] To explore effect of surgical treatment in distal comminuted fracture of radius with locking plate. [Methods] 23 patients were involved. The mean age of these patients was 42.3 years, and the cohort ineluded 15 men and 8 women. The mean time from injury to operation was 6.7 days. 17 cases were fdled with own iliae bone.[Results] Average follow-up time was 10.2 months. Wrist function was evaluated by dienst system, and good rate was 82.6%. [Conclusions] The use of locking plate fixed fracture not only is effective, but also can exercise early. Surgical treatment can achieve satisfactory effect.