过伸位牵引掌侧撬拔复位植骨内固定治疗桡骨远端FernandezIII型骨折
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作者Author单位AddressE-Mail
程亚博* CHENG Ya-bo 四川省骨科医院 Department of Orthopedic Trauma and Hand Surgery,The orthopaedic hospital in sichuan province,Chengdu 282394857@qq.com 
杨顺 YANG Shun 四川省骨科医院  
期刊信息:《中国骨伤》年,第卷,第期,第-页
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中文摘要:目的:探讨过伸位牵引撬拔掌侧复位植骨内固定治疗桡骨远端FernandezIII型骨折的临床疗效。方法:自2017年2月至2018年3月,采用术中过伸位牵引掌侧撬拔复位植骨内固定治疗桡骨远端FernandezIII型骨折患者11例,男6例,女5例;年龄55-67岁,术前X片及CT评估桡骨远端骨折背侧成角伴关节面压缩、塌陷,按Fernandez分型为III型。术后评估关节面复位情况,观察骨折愈合情况,随访采用VAS评分及Cooney腕关节评分量表评估疗效。结果:全部患者无手术并发症的发生,11例患者术后均获随访,平均随访12-14月,骨折全部愈合。予Cooney腕关节评分量表评估疗效,优9例,良1例,可1例。结论:桡骨远端FernandezIII型骨折,术中采用过伸位牵引加大成角,经掌侧骨折端撬拔复位植骨内固定能有效的复位塌陷的关节面并给予有效固定,术后早期功能锻炼,临床效果满意。
【关键词】桡骨骨折  FernandezIII型骨折  切开复位
 
Open pulling reduction and bone graft by overstretched wrist traction and internal fixation for the treatment of distal radius type Fernandez III fractures
ABSTRACT  Objective To explore the clinical effect of the treatment of open pulling reduction and bone graft by overstretched wrist traction and internal fixation of distal radius type Fernandez III fractures . Methods From From February 2017 to March 2018,11cases of patients were involved, with the treatment of open pulling reduction and bone graft by overstretched wrist traction and internal fixation of distal radius type Fernandez III fractures ,including 6 males and, 5 females with age ranging from 55 to 67 years old. Preoperative X and CT evaluation of distal radius fractures with dorsal angular formation and joint surface compression and collapse, according to the classification of Fernandez :type III distal radius fractures.Post-operative the joint surface reduction ,fracture healing were observed, and the results were evaluated by VAS score and Cooney wrist scale.Results There were no surgical complications in all patients. All 11 patients were followed up after surgery. The average follow-up was 12-14 months, and the fractures all healed.Wrist function were evaluated according to Cooney system and rated as excellent in 9 cases,good in 1 cases and fair 1cases.Conclusion The treatment of open pulling reduction through the metacarpal and bone graft by overstretched wrist traction and internal fixation of distal radius type Fernandez III fractures.The reduction and fixation of the collapsed joint surface could be effectively reset and effective fixation.Postoperative early functional exercise was performed. The clinical effect was satisfactory.
KEY WORDS  Distal radius fractures,Type Fernandez III fractures,Open reduction and internal fixation
 
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