Treatment of distal radial fracture
- VernacularTitle:桡骨远端骨折的治疗
- Author:
Baoguo JIANG
- Publication Type:Journal Article
- Keywords:
Radius distal;
Fractures;
Treatment;
Fracture fixation
- From:
Chinese Journal of Orthopaedic Trauma
2002;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Although fractures of distal radius are very common in clinic,new ideas,devices and methods in their treatment are constantly emerging.This review summarizes their classifications and treatment methods,including closed reduction and external fixation,percutaneous internal fixation,external fixation,open reduction and internal fixation,wrist joint arthroscopy and bone grafting.At last,the author puts forwards his opinions about the treatment based on AO classification:Close reduction and cast immobilization should be the first choice for type A fractures.Open reduction and internal plate fixation may be needed for type B and C1 ones when close reduction can not be satisfactory.Internal plate fixation and external fixation may be suitable for C2 and C3 ones.The locking compression plate may be used for old people with osteoporosis.The methods of treatment for distal radial fractures should vary according to the specific type of the fracture.Bone grafting may be considered on the condition of large bone defect or severe osteoporosis.
