| 王亮,李永忠.掌侧锁定板治疗合并背侧骨块的桡骨远端骨折.骨科,2026,17(3): 243-247. |
| 掌侧锁定板治疗合并背侧骨块的桡骨远端骨折 |
| The treatment of distal radius fractures with dorsal bone fragments using volar locking plates |
| 投稿时间：2025-10-26 |
| DOI：10.3969/j.issn.1674-8573.2026.03.008 |
| 中文关键词: 桡骨远端骨折 背侧骨块 掌侧锁定板 极度掌屈 掌侧入路 |
| 英文关键词: Distal radius fracture Dorsal bone fragments Volar locking plates Extreme palmar flexion Volar approach |
| 基金项目: |
|
| 摘要点击次数: 384 |
| 全文下载次数: 95 |
| 中文摘要: |
| 目的 探讨术中掌侧锁定板结合极度掌屈位复位技术治疗合并背侧骨块的桡骨远端骨折的临床疗效。方法 回顾性分析2021年7月至2023年11月我科收治的31例合并背侧骨块的桡骨远端骨折患者，手术采用掌侧入路极度掌屈手法复位锁定板固定，术后通过随访评估腕关节活动度、影像学表现及Gartland-Werley评分等指标，并与健侧进行对比分析，以评估该术式对腕关节功能恢复的临床疗效。结果 31例患者获得有效随访，平均随访时间13个月。骨折均顺利愈合，未出现重要血管神经损伤、内固定失败等并发症。术后12周影像学评价显示，桡骨高度、宽度、掌倾角、尺偏角无明显丢失。患侧与健侧腕关节活动度（包括掌屈、背伸等）比较，差异无统计学意义（P＞0.05）。末次随访时Gartland-Werley腕关节评分结果为：优21例，良8例，可1例，差1例，优良率为93.5%。结论 掌侧锁定板结合极度掌屈位复位治疗伴背侧骨块的桡骨远端骨折，术中可实现满意的复位与内固定，促进术后腕关节功能早期恢复，取得较好的临床效果，值得临床推广。 |
| 英文摘要: |
| Objective To investigate the clinical efficacy of intraoperative palmar locking plates combined with extreme palmar flexion position reduction technique in the treatment of distal radius fractures with dorsal bone fragments. Methods A retrospective analysis was conducted on 31 patients with distal radius fractures combined with dorsal fragments admitted to our department from July 2021 to November 2023. The surgical procedure involved a volar approach, extreme palmar flexion reduction technique, and locking plate fixation. Postoperative follow-up assessments included wrist joint range of motion, radiological findings, and Gartland-Werley scores, with comparative analysis against the contralateral healthy side to evaluate the clinical efficacy of this surgical approach. Results Thirty-one patients were followed up successfully for an average of 13 months. All fractures healed uneventfully without complications such as major vascular injuries, nerve injuries, or internal fixation failure. Radiological evaluation at 12 weeks post-surgery revealed no significant loss in radial height, width, palmar inclination angle, or ulnar deviation angle. Wrist joint range of motion (including palmar flexion and extension) showed no statistically significant difference between affected and healthy sides (P＞0.05). At final follow-up, the Gartland-Werley wrist function score was: 21 excellent, 8 good, 1 fair, and 1 poor case, yielding an excellent/good rate of 93.5%. Conclusion The palmar locking plate combined with extreme palmar flexion position reduction is a surgical method used to treat distal radius fractures with dorsal bone fragments. During the procedure, this approach achieves satisfactory reduction and internal fixation, which promotes early recovery of wrist joint function post-surgery and yields good clinical outcomes. These findings suggest that this surgical technique is highly recommended for clinical application and dissemination. |
|
查看全文
下载PDF阅读器 |
| 关闭 |
|
|
|
