万向锁定加压掌侧双柱接骨板治疗桡骨远端不稳定性骨折

Application of variable angle two-column locking compression plate in treatment of unstable distal radius fracture

目的总结万向锁定加压掌侧双柱接骨板治疗桡骨远端不稳定性骨折临床效果。方法对38例桡骨远端不稳定性骨折采用掌侧入路,应用AO 2.4 mm桡骨远端万向锁定加压掌侧双柱接骨板内固定。术后早期功能锻炼,观察疗效。结果患者均获随访,时间6～18个月,骨折均愈合。根据Sarmiento改良的Garland&Werley标准进行功能评价:优24例,良11例,可3例,优良率为92.1%。结论 AO 2.4 mm桡骨远端万向锁定加压掌侧双柱接骨板治疗桡骨远端不稳定性骨折,符合三柱理论,内固定更加牢固,可早期功能锻炼,避免复位丢失,是治疗桡骨远端不稳定性骨折的有效方法。

Objective To summarize the treatment outcome of the distal radius fracture using AO 2.4 mm variable angle two-colum locking compression plate（LCP）. Methods Internal fixation with variable angle two-column LCP / were appliedfto 38 cases of unstable distal radius fracture. The early rehabilitation was carried out after the operation. Results All patients were followed up for 6 ~ 18 months. All the fractures got union. According to Garland and Werley evaluation system （improved by Sarmiento）, 24 patients obtained excellent results, 11 good, 3 fair, the excellent and good rate was 92. 1%. Conclusions Internal fixation with AO 2. 4 mm variable angle two-column LCP in treating the unstable distal radius fracture can provide firm fixation and the patients can exercise early, without losing the fracture reduction. It agrees with the three column theory, and was an effective way to treat the unstable distal radius fracture.