闭合复位外固定架固定及同种异体骨移植治疗轴向压缩的桡骨远端骨折

Treatment of the axial compression distal radial fractures with closed reduction,external fixator fixed and allogeneic bone graft

目的探讨外固定支架联合同种异体骨移植治疗轴向压缩的桡骨远端骨折的临床效果。方法选取该院2009年9月至2011年2月收治的15例轴向压缩的桡骨远端骨折患者,采用闭合复位外固定支架联合同种异体骨移植手术治疗,术后6个月评估腕关节功能及X线片结果。结果 15例均获得随访,随访时间6个月,骨折愈合时间为42～109d,有1例患者骨折延迟愈合,1例发生针道感染,1例发生伤口渗液,术后6个月腕关节功能恢复良好。结论闭合复位外固定架固定联合同种异体骨移植治疗轴向压缩的桡骨远端骨折方法简单、治疗效果满意。

Objective To explore the clinical effect of the treatment of the axial compression distal radial fractures with the external fixator and the allogeneic bone graft. Methods 15 patients with the axial compression distal radial fractures were selected in the hospital from September 2009 to February 2011. All of the patients were treated by closed reduction,external fixator and allogeneic bone graft. The wrist joint function and X ray results were evaluated six months after the operation. Results All of the patients were followed up in 6 months after the operation. All fracture were healed in 42--109 days. One patient had a delay healing,One patient had nailed way infection,one patient had wound drainage. Six months after the operation,all of the wrist joint function recovered well. Conclusion The method of closed reduction, external fixator fixed and allogeneic bone graft is a simple and effective treatment method for the axial compression distal radial fractures.