外固定支架治疗桡骨远端粉碎性骨折的优点

External fixation in treatment of serious splintered fracture of distal radius

目的探讨外固定支架治疗桡骨远端粉碎性骨折的疗效。方法回顾性分析采用外固定支架治疗桡骨远端粉碎性骨折54例的临床资料。结果所有患者均随访5。12个月，平均9.3个月；外固定支架平均固定7．5周；x线显示骨折全部一期愈合；2例外固定松动，3例关节僵硬，1例骨不连，无钉道感染和腕管综合征。影像学结合Ganiand-werelv关节评分：优45例，良4例，可5例，优良率98．2％。结论外固定支架治疗桡骨远端粉碎性骨折既能有效复位，维持桡骨高度，防止继发性高度丢失，又有利于最大程度恢复桡骨关节面的平滑，减少骨性关节炎及关节僵硬的发生，值得临床推广。

Objective To evaluate clinical effect of external fixation in the treatment of serious splintered fracture of distal radius. Methods The clinical data of 54 patients with serious splintered fracture of distal radius treated by external fixation were retrospectively analyzed. Results All the patients were followed up 5 to 12 months（mean 9.3 months）. The external fixations were averagely fixed 7.5 weeks. X ray showed that all cases were clinically healed. The looseness of external fixation occurred in 2 cases .3 cases got ankylosis and 1 cases bone ununion. No infection and carpal tunnel syndrome occurred. Imaging and Gartiand-Werely Score showed that 45 excellently recovered, 4 well, and 5 fairly, with an excellent-and-good rate of 98.2%. Conclusions External fixation in the treatment of serious splintered fracture of distal radius has effective reduction, can maintain the highness of distal radius, prevent the loss of the highness of distal radius, and reduce the incidences of ankylosis and osteoarthritis, and is worth being clinically generalized.