有限内固定加外固定支架治疗桡骨远端粉碎性骨折

Limited internal fixation combined external fixation in the treatment of distal radius comminuted fractures

目的探讨有限内固定加外固定支架治疗桡骨远端粉碎性骨折的临床疗效。方法采用有限内固定加外固定支架治疗桡骨远端粉碎性骨折45例。结果 42例患者获得随访,时间3～36个月。按Lidstrom评分系统行影像学评价:优30例,良7例,中5例,优良率为88.09%;依据Dienst标准评价腕关节功能:优30例,良8例,中4例,优良率为90.47%。无严重并发症发生。结论有限内固定结合外固定支架治疗桡骨远端粉碎性骨折,复位满意,操作简单,固定牢固,疗效满意。

Objective To study the effect of limited internal fixation and external fixation for the treatment of comminuted fracture of distal radius. Methods Limited internal fixation combined with external fixation were used in the treatment of 45 cases of comminuted fracture of distal radius. Results 42 cases were followed up for 3 ～ 36 months. With Lidstrom scoring system image evaluation, excellent 30 cases ,7 good,5 fair, and the excellent and good rate was 88.09% ;According to Dienst functional evaluation standard,the wrist joint function evaluation was excellent in 30 cases, good in 8, and fair in 4 cases, and the excellent and good rate was 90. 47%. No serious complications were found. Conclusions Limited internal fixation combined external fixation for distal radius eomminuted fractures pro- vide good reduction and satisfactory effect.