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切开复位内固定治疗桡骨远端不稳定性骨折疗效观察 被引量:8

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摘要 目的观察切开复位内固定治疗桡骨远端不稳定性骨折的效果。方法采用切开复位T型金属板螺钉或克氏针内固定治疗桡骨远端不稳定性骨折68例。术前掌倾角2.06°±4.88°,尺偏角18.31°±0.92°,桡骨短缩(1.95±0.76)cm。结果 68例患者手术均获得成功,无术中血管、神经损伤。2例出现切口延迟愈合,给予无菌换药分别于术后3、4周愈合。术后随访3-24个月,X线片显示骨折全部愈合,64例关节面平整;掌倾角8.71°±3.15°,尺偏角20.9°±5.5°,均恢复至正常范围;桡骨轴向无明显短缩。根据Mcbridge腕关节评分标准:优25例,良23例,可14例,差6例。末次随访未发现骨折不愈合、内固定物失效、畸形愈合。结论切开复位内固定治疗桡骨远端不稳定性骨折疗效满意。
作者 李宗起
机构地区 日照港口医院
出处 《山东医药》 CAS 2014年第34期46-47,共2页 Shandong Medical Journal
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