RESULTS OF COMBINED INTERNAL AND EXTERNAL FIXATION FOR THE TREATMENT OF SEVERE AO-C3 FRACTURES OF THE DISTAL RADIUS

被引：27

作者：

BASS, RL ^{[1
]}

BLAIR, WF ^{[1
]}

HUBBARD, PP ^{[1
]}

机构：

[1] UNIV IOWA HOSP & CLIN,DEPT ORTHOPAED SURG,DIV HAND & MICROSURG,IOWA CITY,IA 52245

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1995年 / 20A卷 / 03期

关键词：

D O I：

10.1016/S0363-5023(05)80090-5

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Combined internal and external fixation for distal radius fractures has been previously reported, but the indications, technique, and results are not defined. This study reviews an experience with a specific surgical strategy for the treatment of a homogenous population of AO-C3 fractures of the distal radius. The technique is composed of combined palmar and dorsal surgical approaches for open reduction and internal fixation of fracture fragments after neutralizing the wrist with a rigid external fixator. Thirteen fractures in 12 patients were followed an average of 27 months. Wrist motion averaged 60 degrees of flexion and 45 degrees of extension. The injured extremities had a mean grip strength that was 83% of the uninjured side. Follow-up x-ray films showed a dorsal tilt of 1 degrees, radial inclination of 18 degrees, and radial length of 12 mm. Using the rating system of Green and O'Brien, the results were excellent or good in 10 wrists. The results indicate that this surgical strategy, though technically demanding, can be successfully used in this specific subset of difficult to treat distal radius fractures.

引用

页码：373 / 381

页数：9

共 15 条

[1]

Knirk, Jupiter, Intra-articular fractures of the distal end of the radius in young adults, J Bone Joint Surg, 68, pp. 647-659, (1986)

[2]

Leung, Shen, Tsang, Chiu, Leung, Hung, An effective treatment of comminuted fractures of the distal radius, J Hand Surg, 15, pp. 11-17, (1990)

[3]

Fernandez, Geissler, Treatment of displaced articular fractures of the radius, J Hand Surg, 16, pp. 375-384, (1991)

[4]

Axelrod, Green, McMurtry, Limited open reduction of the lunate facet in comminuted intra-articular fractures of the distal radius, J Hand Surg, 13, pp. 372-377, (1988)

[5]

Seitz, Et al., Augmented external fixation of unstable distal radius fractures, J Hand Surg, 16, pp. 1010-1016, (1991)

[6]

Bradway, Amadio, Cooney, Open reduction and internal fixation of displaced, comminuted intraarticular fractures of the distal end of the radius, J Bone Joint Surg, 71, pp. 839-847, (1989)

[7]

Missakian, Et al., Open reduction and internal fixation for distal radius fractures, J Hand Surg, 17, pp. 745-755, (1992)

[8]

Epner, Bowers, Guiford, Ulnar variance the effect of wrist positioning and roentgen filming technique, The Journal of Hand Surgery, 37, pp. 298-305, (1982)

[9]

Stahelin, Et al., Determining carpal collapse, J Bone Joint Surg, 71, pp. 1400-1405, (1989)

[10]

Cooney, Et al., Difficult wrist fractures: perilunate fracture-dislocations of the wrist, Clin Orthop, 214, pp. 136-147, (1987)

← 1 2 →