中国临床解剖学杂志 ›› 2017, Vol. 35 ›› Issue (6): 688-690.doi: 10.13418/j.issn.1001-165x.2017.06.020

• 临床研究 • 上一篇    下一篇

腕关节镜辅助下“分水岭”万向锁定加压钢板治疗桡骨极远端骨折

印飞, 芮永军,  黎逢峰,  刘军,  吴永伟,  马运宏,  孙振中   

  1. 苏州大学附属无锡市第九人民医院骨科,  江苏   无锡    214000
  • 收稿日期:2017-04-21 出版日期:2017-11-25 发布日期:2017-12-30
  • 通讯作者: 芮永军,主任医师,E-mail: ruiyj@hotmail.com
  • 作者简介: 印飞(1987-),男,医学硕士,住院医师,主要从事创伤骨科与显微外科的临床研究,Tel:15152224216,E-mail:yfseu0126@126.com

Clinical effect of treating volar marginal rim fractures with arthroscopy-assisted combined variable angle lcp volar rim distal radius plates

YIN Fei, RUI Yong-jun, LI Fen-feng,  LIU Jun,  WU Yong-wei, MA Yun-hong, SUN Zheng-zhong   

  1. Department of Orthopedic Surgery, Wuxi No.9 People’s Hospital, Suzhou University, Jiangsu Wuxi 214000
  • Received:2017-04-21 Online:2017-11-25 Published:2017-12-30

摘要:

目的  探讨腕关节镜辅助“分水岭”万向锁定加压钢板内固定治疗桡骨极远端骨折的临床效果。  方法 收集2016年1月至2016年11月我院骨科采用关节镜辅助下“分水岭”万向锁定加压钢板内固定治疗的19例桡骨远端“分水岭”以远骨折患者的临床资料。统计患者骨折愈合时间,采取Mayo评分、DASH评分对患侧腕关节进行评估。  结果 所有患者均获得随访,随访时间6~16个月,平均12.1个月。患者创面均一期愈合,骨折愈合时间9~13周,平均11.2周。末次随访Mayo评分86~95分,平均92.8分,其中优 14例,良5例;DASH腕关节功能评分6~12分,平均9.7分。  结论 腕关节镜辅助下“分水岭”万向锁定加压钢板内固定治疗桡骨极远端骨折能有效复位并支撑关节面,便于早期功能锻炼,腕关节功能恢复良好,值得临床推广。

关键词: 桡骨骨折,  钢板,  内固定,  手术治疗

Abstract:

Objective To investigate the clinical effect of treating volar marginal rim fractures with arthroscopy-assisted combined variable angle lcp volar rim distal radius plates. Methods From January 2016 to November 2016, 19 patients who suffered from extreme distal radial fractures were treated in Department of Orthopedics. The assessments included fracture healing time,function of wrist according to DASH scores and Mayo scoresplate. Results All of the 19 cases were followed up for 6~16 mouths,with average of 12.1 months.All fractures healed and no loss of reduction occurred in 9~13weeks,with anaverage of 11.2 weeks.The Mayo score was 86 to 95 points(average 92.8 points). the DASH score was from 6 to 11points(average 9.7 points).    Conclusions    Arthroscopy-assisted combined variable locking compression plate may be an effective way to treat extreme distal radial fractures with compound internal fixation on the basis of morphological feature of fractures and the situation of soft tissue because of  easiness of the fixation,early functional training and excellent wrist joint function, it is worth clinical promotion.

Key words: Radius fractures; Plate,  Internal fixation; Surgical treatment