腕关节镜辅助下闭合复位外固定治疗桡骨远端骨折

Treatment of distal radius fractures with wrist arthroscope-assisted closed reduction and external fixation

目的 探讨腕关节镜辅助治疗桡骨远端骨折的方法及疗效.方法 2011年11月至2013年10月,对25例桡骨远端骨折患者采用腕关节镜辅助外固定支架治疗,术后采用Stewart改良的Sarmiento评分评价骨折复位及愈合情况,采用Cooney评分评价腕关节功能.结果 所有患者均获得随访,平均随访时间为10.6个月.骨折全部愈合.术后X线片显示桡骨远端掌倾角平均为11.9°,尺偏角为20.1°.按照Stewart改良的Sarmiento评分：优22例,良2例,可1例.术后腕关节功能按Cooney评分：优20例,良4例,可1例.结论 腕关节镜辅助闭合复位外固定治疗桡骨远端骨折具有微创,术后恢复快,疗效较好等优点.

Objective To introduce the technique and treatment outcomes of arthroscope-assisted closed reduction and external fixation of distal radius fractures.Methods Twenty-five cases of distal radius fractures were treated arthroscopically with closed reduction and external fixation between November 2011 and October 2013.Sarmiento score modified by Stewart was used for assessment of fracture reduction and healing.Cooney score was applied to evaluate postoperative wrist function.Results All the patients were follow-up for an average of 10.6 months.All the fractures healed well.Postoperative X-ray showed 11.9° of palmar tilt and 20.1° of ulnar inclination on average.According to the modified Sarmiento score,the surgical results were rated as excellent in 22 cases,good in 2 cases and fair in 1 case.According to Cooney wrist score,the function of the wrist was rated as excellent in 20 cases,good in 4 cases,and fair in 1 case.Conclusion Arthroscope-assisted closed reduction and external fixation is a less invasive and more effective treatment for distal radius fractures.