【摘 要】 目的: 探讨微创手术治疗桡骨远端不稳定骨折的临床疗效。方法:采用克氏针结合外固定支架治疗的23例26侧桡骨远端不稳定骨折。结果:术后随访3~24个月,平均6个月,均获得骨折愈合且对位良好,患者术后腕关节活动范围明显改善,疗效依照Dienst功能评估标准进行评定:优19侧,良4侧,可3侧,优良率为88%。结论:克氏针有限内固定结合外固定支架治疗桡骨远端不稳定骨折是一种微创手术,操作简单,固定可靠,疗效满意。 【关键词】 桡骨远端骨折 不稳定性 骨折固定术 外

    Treating unstable distal radius fractures by limited open reduction and combined with external fixators

    Xu Chaoping

    【Abstract】 Objective:To evaluate the minimally invasive surgical treatment of unstable distal radius fractures in clinical efficacy.Methods:The K-wire combined with external fixation in the treatment of 23 patients with 26 unstable distal radius fracture side.Results:The patients were followed up 3 to 24 months, an average of 6 months, all fractures healed and the right place to obtain a good postoperative wrist range of activities significantly improved efficacy of functional evaluation according to Dienst criteria assessment: excellent 19 side, good in 4 side, can be three side, the fine rate was 88%.Conclusion:The Kirschner wire with limited internal fixation combined with external fixation in the treatment of unstable distal radius fractures is a minimally invasive procedure, simple operation, reliable fixation, results were satisfactory. ......