切开复位内固定治疗掌侧型巴尔通骨折34例

Clinical Evaluation of Open Reduction and Internal Fixation for Palmar Barton's Fracture

目的:探讨切开复位内固定治疗掌侧型巴尔通骨折(Barton’s fracture)的临床疗效。方法:回顾性分析2007年1月至2009年12月间我院采用手术治疗掌侧型Barton’s骨折34例患者的临床资料。结果:34例患者手术后骨折关节面均达到解剖复位,住院时间4-13d,平均5.6d,1例患者术后切口浅表感染,经换药、抗生素应用后愈合。随访6-12个月,定期复查X线片,临床愈合时间6-8周,平均6.9周,34例均骨性愈合,腕关节功能恢复时间2-10个月,功能评价优26例,良6例,可1例,差1例,优良率94.12%。结论:早期手术治疗掌侧型Barton’s骨折可达到骨折关节面的解剖复位,固定可靠,术后可以早期进行功能锻炼,有利于腕关节功能恢复,且术后并发症较少。

Objective： To evaluate the clinical effects of open reduction and internal fixation on patients with palmar Barton＇s fracture.Method： From Jan.2007 to Dec.2009,34 cases with Barton＇s fracture were treated by open reduction and internal fixation.Result： All patients achieved articular surface anatomic reduction after surgery,length of stay in hospital was 4-13days,an average of 5.6days.One case had superficial infection after surgery,and recovered with dressing and antibiotics.The patients were followed up for 6 to 12 months months.All patients were given X-ray examination regularly.The fracture healing time were 6-8 weeks,with an average of 6.9 weeks.34 cases were bone union and wrist function recovery time were 2-10 months.According to the Dienst wrist score was excellent in 26 cases,good in 6 cases,fair in 1 case and poor in 1 case.Conclusion：The early treatment of palmar Barton＇s fractures with surgery could achieve articular surface anatomic reduction and reliable fixation,early functional exercises,beneficial to wrist function recovery with less complications after surgery.