期刊文献+

锁定加压接骨板结合克氏针治疗中青年C型桡骨远端骨折 被引量:24

Locking compression plate combined with Kirschner wire fixation for treatment of high-energy type C distal radius fractures in young patients
收藏 分享 导出
摘要 目的探讨锁定加压接骨板(10ckingcompression.plates,LCP)结合克氏针治疗中青年高能量损伤c型桡骨远端骨折的疗效。方法自2008年6月至2012年11月收治中青年C型桡骨远端骨折26例,平均年龄28岁。骨折按AO分型:c1型14例,c2型6例,c3型6例。采用掌侧LCP结合克氏针固定20例,背侧LCP结合克氏针固定4例,桡侧LCP结合克氏针固定2例。随访内容包括腕关节疼痛程度评分(VAS),腕关节主动活动范围,Gartland-Werley评分,Batra放射学评价以及并发症。结果26例均获得18~48个月的随访,平均26个月。骨折愈合时间为12~24周,平均18周;克氏针拆除时间为3—5周,平均4周;钢板拆除时间为12~18个月,平均14个月。l例患者术后3个月发生反射性交感神经营养不良,3例术后发生创伤性腕关节炎。按照Gartland—Werley评分:优18例,良5例,可3例。结论高能量损伤导致的中青年桡骨远端C型骨折,经关节面不规则型骨折块移位明显,锁定加压接骨板结合克氏针通过桡掌侧、背侧及桡侧手术人路对骨折进行个性化解剖复位,是治疗不稳定桡骨远端骨折的有效方法之一。 Objective To investigate the long-term efficacy of locking compression plate (LCP) combined with Kirschner wire fixation in treating high-energy type C distal radius fractures in young adults. Methods From June 2008 to November 2012, 26 young adults (14 males and 12 females) with high-energy type C distal radius fractures were treated. The age of the patients averaged 28 years. According to AO classification, there were 14, 6 and 6 cases of type C1, type C2 and C3 fractures, respectively. Twenty, 4 and 2 cases were treated by fixation using LCP combined with Kirschner wire through volar, dorsal and radial approach, respectively. Postoperative evaluations included visual analogue score of wrist pain, active range of motion of the wrist, Gartland-Werley score, Batra radiological score and complications. Results In 26 patients, the follow-up duration was 18 to 48 months, the average being 26 months. Fracture healing time was 12 to 24 weeks, with an average of 18 weeks. The time of Kirschner wire removal was 3 to 5 weeks postoperatively (mean, 4 weeks), and that of plate removal was 12 to 18 months (average 14 months). Reflex sympathetic dystrophy occurred in I ease 3 months after the surgery. Postoperative trattmatic arthritis occurred in 3 eases. The Gartland-Werley scores at the final follow-up were excellent in 18 cases, good in 5 eases and fair in 3 eases. Condusion There is usually significant displacement of irregular fracture fragments on the articular surface in young adults with high-energy type C distal radius fractures. LCP combined with Kirschner wire fixation through volar, dorsal and radial approach can obtain personalized anatomic reduction of the fracture. It is one of the effective methods for treatment of unstable distal radius fractures.
作者 王健 张怀保 卓高豹 邱海胜 劳杰 Wang Jian , Zhang H uaibao, Zhuo Gaobao, Qiu Haisheng, Lao Jie. "Department of Hand Surgery, the First Aliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
出处 《中华手外科杂志》 CSCD 北大核心 2014年第2期107-109,共3页 Chinses Journal of Hand Surgery
关键词 桡骨骨折 骨折固定术 中青年 Radius fractures Fracture fixation,internal Young patient
作者简介 通信作者:劳杰,Email:laojie633@hotmail.com
  • 相关文献

参考文献10

二级参考文献61

共引文献290

同被引文献174

引证文献24

二级引证文献78

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈