改良克氏针联合掌侧锁定钢板治疗桡骨极远端骨折的临床研究
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青岛市中心医院

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Clinical research of modified Kirschner wire combined with volar locking plate in the treatment of distal radius fractures
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Central Hospital of Qingdao

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    摘要:目的 探讨改良克氏针联合掌侧锁定钢板治疗桡骨极远端骨折的疗效。方法 收集采用手术治疗的7例桡骨极远端骨折患者的临床资料。术中采用经改良的克氏针联合掌侧锁定钢板固定骨折端。术后经12个月随访,评价患者术后影像学指标、骨折复位、愈合及内固定情况,MAYO腕关节功能评分指标进行评估。结果 7例患者均获得随访,平均时间为12个月。术后无神经血管并发症,术后骨折均获愈合,1例出现骨折复位丢失,但无需返修。7例患者均未发生明显疼痛,MAYO腕关节 功能评分 为 75~95分 ,平均 89.29分。结论 改良克氏针联合掌侧锁定钢板治疗桡骨极远端骨折是一种有效的方法。

    Abstract:

    ABSTRACT: Objective To investigate the effect of modified Kirschner wire combined with volar locking plate in the treatment of distal radius fractures. Methods The clinical data of 7 cases with distal radius fracture treated by operation were collected. The improved Kirschner wire combined with volar locking plate was used to fix the fracture.A total 7 patients were followed up with 12 months, the imaging parameters, fracture reduction, healing and internal fixation were evaluated, and MAYO wrist function score was evaluated. Results All 7 patients were followed up for an average of 12 months. There were no neurovascular complications, all fractures healed after operation, and 1 case lost reduction, but need not reoperation. There was no obvious pain .The MAYO wrist function score was 75-95, with an average of 89.29. Conclusion Modified Kirschner wire combined with volar locking plate can effectively treat of distal radius fracture.

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  • 收稿日期:2019-07-18
  • 最后修改日期:2019-08-16
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