摘要
桡骨远端骨折较多采取切开复位掌侧锁定钢板内固定的治疗方式,新型的内植物包括桥接钢板、髓内钉、人工腕关节等也有一定的适用范围。另外,保守治疗、外固定支架、经皮穿针术等方法也是临床常选用的方法。近年,腕关节镜、新型骨水泥、3D打印、数字化技术等新型技术为复杂的桡骨远端骨折的治疗,提供了更精确、稳定的诊疗。桡骨远端骨折的治疗方法多样,但治疗的关键仍然离不开恢复并维持桡骨远端的掌倾角和尺偏角,需结合患者损伤特点及康复要求,并尽可能选用最简单、最安全的方法达到治疗目的。文章就桡骨远端骨折的治疗策略及其相关最新研究进行综述。
For the treatment of fractures the distal radius,open reduction and internal fixation with a volar locking plate is most frequently used in addition to conservative therapy,external fixation,and percutaneous needle puncture. Some new implants,such as bridging plates,intramedullary nails,and wrist prosthesis,have also gained clinical application. In the recent years,some new techniques like wrist arthroscopy,new bone cement,3D printing,and digital technology have provided more accurate and stable diagnosis and treatment of the disease. In spite of a variety of strategies,the treatment of fractures the distal radius is focused on the restoration and maintenance of the volar tilting angle and the ulnar inclination in the distal radius. Doctors need to consider the injury characteristics and rehabilitation requirements of the patients and choose the simplest and safest methods to achieve optimal outcomes.
出处
《医学研究生学报》
CAS
北大核心
2017年第5期551-555,共5页
Journal of Medical Postgraduates
基金
广东省佛山市卫生和计生局医学科研课题(20170092)
关键词
桡骨远端骨折
内固定
外固定
保守治疗
Radial distal fracture
Internal fixation
External fixation
Conservative treatment