桡骨；关节；骨折；手术；康复_

桡骨远端关节内骨折的手术治疗与早期康复

http://www.100md.com 《创伤外科杂志》 2006年第6期

桡骨；关节；骨折；手术；康复,,桡骨；关节；骨折；手术；康复,1一般资料,2治疗,1桡骨远端骨折、特别是累及关节面的粉碎性骨折，复位的好坏直接影响腕关节功

     摘要：目的探讨桡骨远端关节内骨折的手术治疗与早期康复的临床疗效。方法 2001~2005年我科应用π型钢板对18例桡骨远端关节内骨折行切开复位内固定，并行早期功能康复，术后按Lidstrom评分标准评定。结果 18例经8~12个月随访，平均10个月。优：无功能损害，无主观症状，无畸形，背伸掌屈失位<15°15例；良：无功能损害，无主观症状，轻度畸形2例；可：关节功能恢复不理想，关节活动度差1例；差：工作能力减弱，日常生活受影响，伴活动性疼痛0例。本组优良率94.4%。结论对桡骨远端关节内骨折应用π型钢板内固定，术中解剖复位，术后早期进行功能康复，可得到较满意的治疗效果。

    关键词：桡骨；关节；骨折；手术；康复

    Treatment of distal intraarticular fractures of radius

    WANG Wei,LIU Yingxi,LI Jun,et al.

    (Department of Hand Surgery and Microsurgery,Baoshan Branch of Shanghai First People Hospital,Shanghai 200940,China)

    Abstract： Objective To analyse the surgical outcome of distal intraarticular fractures of radius.Methods All the cases were treated with πshaped plate,and followed by early exercise.The outcomes were evaluated by Lidstrom score.Results All the cases were followed up for 812 months.The result of 15 cases were excellent,with any function damage feeling no uncomfortable ......

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