Clinical observation of adjustable external fixator combined with limited internal fixation for type C distal radius fractures
10.3969/j.issn.1005-6483.2018.03.021
- VernacularTitle:可调节外固定支架结合有限内固定治疗C型桡骨远端骨折的临床观察
- Author:
Tongling WU
1
;
Weidong HOU
;
Xiangyang TANG
Author Information
1. 518172,广东省深圳市龙岗区人民医院
- Keywords:
fractures of the distal radius;
extmial fixators;
internal fixation;
kirschner wire
- From:
Journal of Clinical Surgery
2018;26(3):228-230
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of adjustable external fixaor combined with limited internal fixation for type C distal radius fractures. Methods A total of 22 patients with type C distal radius fractures were treated with adjustable external fixator combined with limited internal fixation from October 2013 to January 2016. Accoiding to AO/ASIF classification, there were 6 cases defined as Cl, 7 cases as 02 and 9 cases as C3. All cases were followed up completely. The clinical efficacy was evaluated based on the wrist join function and X-ray materials. Results They were followed up from 6 month to 18 month(mean 11 months). It showed that all the fractures were healed within 3 months according to X-ray examination. According to Garland-werley evaluation standard, 15 cases were excellent, 5 cases were good and 2 cases were fair. The excellent and good rate was 90. 91%. Condusion For type C distal radius fractures, the method of adjustable external fìxaor combined with limited internal fixation can recover and maintain radius height, volar tilt angle and ulnar inclination angle effectively. It can provide satisfactory wrist join function.