对掌屈尺偏位固定治疗Colles骨折的再认识

Understanding the treatment of Colles fracture with wrist joint fixation with plaster in flexion-ulnar position

目的:探讨腕关节掌屈尺偏位固定治疗Colles骨折的临床疗效。方法:1998年1月至2008年6月采用腕关节掌屈尺偏位固定治疗Colles骨折120例,男52例,女68例;年龄22～90岁,平均57.6岁;左侧41例,右侧69例,双侧10例。全部为新鲜闭合骨折。根据骨折移位畸形情况:Ⅰ型34例,Ⅱ型36例,Ⅲ型32例,Ⅳ型18例。结果:有移位的(Ⅱ-Ⅳ型)86例获得随访,平均随访时间10个月,全部获得临床骨性愈合。根据Dienst腕关节评估标准评定:优59例,良12例,可10例,差5例。结论:腕关节掌屈尺偏位固定可以维持良好的Colles骨折整复后的固定位置,获得较好的功能恢复。

Objective ： To investigate the clinical effects of wrist joint fixation in flexion-ulnar position for the treatment of Colles fracture. Methods ： From January 1998 to June 2008,120 patients with Colles fracture were treated with wrist joint fixation with plaster in flexion-ulnar position. There were 52 males and 68 females with an average age of 57.6 years （ranged, 22 to 90） ; 41 cases were left, 69 cases were right, and 10 cases were hibateral. All of them were fresh closed fractures. According to fracture displacement to typing, type I of 34 cases, type Ⅱ of 36 cases, type m of 32 cases, type Ⅳof 18 cases. Results： With dislocated （ Ⅱ -Ⅳtype） 86 patients were followed up for 10 months in average. 86 cases with displaced fragments achieved clinical bony union. According to standard of Dienst, 59 cases got excellent results, 12 good, 10 fair, and 5 poor. Conclusion： The wrist fixation with plaster in flexionnar position in treating Colles fracture may maintain good fixation after reduction and obtain better functional recovery.