[1]邓颖,王刚,王凤斌,等.关节外截骨术治疗桡骨远端骨折畸形愈合16例[J].中国中医骨伤科杂志,2023,31(05):64-69+75.[doi:10.20085/j.cnki.issn1005-0205.230513]
 DENG Ying,WANG Gang,WANG Fengbin,et al.16 Cases Clinical Study on Extra-Articular Osteotomy for Malunion of Distal Radius Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(05):64-69+75.[doi:10.20085/j.cnki.issn1005-0205.230513]
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关节外截骨术治疗桡骨远端骨折畸形愈合16例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年05期
页码:
64-69+75
栏目:
临床报道
出版日期:
2023-05-15

文章信息/Info

Title:
16 Cases Clinical Study on Extra-Articular Osteotomy for Malunion of Distal Radius Fractures
文章编号:
1005-0205(2023)05-0064-06
作者:
邓颖1王刚2王凤斌1张月雷2△
1 国药中铁中心医院(合肥,230022)
2安徽医科大学第一附属医院创伤骨科
Author(s):
DENG Ying1WANG Gang2WANG Fengbin1ZHANG Yuelei2△
1China Railway Central Hospital of Sinopharm,Hefei 230022,China;
2Department of Orthopaedics,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China.
关键词:
关节外截骨 桡骨远端骨折 陈旧性骨折 畸形愈合 掌侧钢板
Keywords:
extra-articular osteotomy distal radius fracture old fracture malunion volar locking plate
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.230513
文献标志码:
B
摘要:
目的:观察关节外截骨术治疗桡骨远端骨折畸形愈合的临床效果。方法:2019年1月至2021年12月采用关节外截骨矫形术治疗了16例桡骨远端骨折畸形愈合患者,其中男6例,女10例; 年龄为16~80岁。致伤原因:交通伤4例,高坠伤3例,摔伤9例,均为闭合性损伤。骨折AO分型:A型11例,B型3例,C型2例。受伤至手术时间为40~210 d。术后记录骨折愈合时间、切口并发症、腕关节活动度等,末次随访时采用Gartland-Werley评分标准评定腕关节功能。结果:手术时间为70~120 min,所有患者均获12个月以上随访。所有患者切口均Ⅰ期愈合,无感染、神经血管损伤、内固定失效、肌腱刺激等并发症。骨折均临床愈合,愈合时间为10~22周。末次随访时掌倾角、尺偏角、桡骨高度、尺骨变异、腕关节活动度较术前明显改善。末次随访时根据Gartland-Werley评分评定,优9例,良 4例,可2例,差1例,优良率为81.25%。结论:在严格把握手术指征的前提下,关节外楔形或牵开截骨术结合掌侧锁定钢板能够有效治疗桡骨远端骨折的畸形愈合,近期疗效满意。
Abstract:
Objective:To investigate the clinical efficacy of extra-articular osteotomy on the treatment of malunion of distal radius fractures.Methods:16 patients with malunion of distal radius fractures were treated with extra-articular osteotomy from January 2019 to December 2021.There were 6 males and 10 females,aged from 16 to 80 years old.Causes of injury: 4 cases of traffic injury,3 cases of high falling injury and 9 cases of falling injury,all of which were closed injuries.AO classification of fracture: 11 cases of type A,3 cases of type B and 2 cases of type C.The time from injury to operation was 40 to 210 d.The fracture healing time,incision complications and wrist range of motion were recorded after operation.The wrist function was evaluated by Gartland-Werley score at the last follow-up.Results:The operation time was 70 to 120 min and all patients were followed up for more than 12 months.There were no complications such as wound healing and endovascular fixation in all patients.All fractures healed clinically at 10 to 22 weeks after operation.At the last follow-up,the palm inclination,ulnar deviation,radius height,ulnar variation and wrist range of motion were significantly improved.According to Gartland-Werley score,9 cases were excellent,4 cases were good,2 cases were fair and 1 case was poor, the excellent and good rate was 81.25%.Conclusion:On the premise of strictly grasping the surgical indications,extra-articular wedge or distraction osteotomy combined with volar locking plate can effectively treat the malunion of distal radius fractures,and the short-term efficacy is satisfactory.

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备注/Memo

备注/Memo:
通信作者 E-mail:orthozhang5233@163.com
更新日期/Last Update: 2023-05-10