万向双柱锁定接骨板在外伤性桡骨远端C型骨折中的应用价值

doi:10.3969/j.issn.1671-7171.2017.11.011

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Abstract 【Objective】To investigate the application of Double Column Universal Volar Locking Compression Plates in the treatment of traumatic type C fractures of the distal radius.【Methods】From June 2012 to April 2016, 96 patients with traumatic type C (AO type) and closed fractures of the distal radius were studied. The total selected study subjects included 38 cases of sub-type C1, 39 cases of sub-type C2 and 19 cases of sub-type C3. All type C fractures of the distal radius were treated with Double Column Universal Volar Locking Compression PlateS.The parameters were measured with imaging, and the Gartland-Werley Wrist Score was used to assess the operative effect.【Results】All of the patients healed during the follow-up period of 9~36 months (mean 21. 36 months) . Compared to the status of pre-operation, the parameters of volar tilt angle, ulnar inclination angle and radial shortening - all improved significantly. The postoperative functional excellence rate was 87.5％ (84/96) . Postoperative complications included 10 cases of wrist pain tenderness, 5 cases of finger flexion and extension restriction, 4 cases of osteoarthritis and 2 cases of flexor tendon adhesion. There were no internal fixation failures, tendon raptures or nerve injuries.【Conclusion】Using the Double Column Universal Volar Locking Compression Plates in treatment of type C distal radius fractures has bettered the height of radius, reinforced fixative effects, decreased instances of complications, and allows for successful postoperative functional recovery.

Key words： Radius/IN Radius Fractures/SU Bone Plates Fracture Fixation, Internal

Received: 22 February 2017

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R683

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	Articles by authors
	LU Ji-ping
	PENG Lei
	BIN Jie
	et al

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LU Ji-ping,PENG Lei,BIN Jie, et al. A Clinical Efficacy Analysis of Traumatic Type C Distal Radius Fractures Treated by Double Column Universal Volar Locking Compression Plates[J]. JOURNAL OF CLINICAL RESEARCH, 2017, 34(11): 2113-2115.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2017.11.011 OR http://www.jcr.net.cn/EN/Y2017/V34/I11/2113

[1] 葛鸿庆, 陈文治, 王君鳌, 等. 掌侧双柱万向锁定加压接骨板治疗C 型桡骨远端骨折37 例[J]. 中华创伤杂志, 2014, 30(11):1141-1143.
[2] Mulders MAM, Rikli D, Goslings JC, et al. Classification and treatment of distal radius fractures: a survey among orthopaedic trauma surgeons and residents[J]. Eur J Trauma Emerg Surg, 2017, 43(2):239.
[3] Jr GJ, Werley CW. Evaluation of healed Colles‘ fractures[J]. J Bone Joint Surg Am, 1951, 33(4):895-907.
[4] 王冬冬, 黄敬龙, 陈东平. 锁定钢板治疗桡骨远端骨折的临床应用[J]. 求医问药(学术版), 2012, 10(01):14-15.
[5] 郭雅娣, 闵捷, 李峻, 等. 单一锁定加压钢板掌侧入路治疗桡骨远端骨折[J]. 中华手外科杂志, 2014, 30( 3) : 235-236.
[6] Toby EB. Commentary on “biomechanical properties of volar hybrid and locked plate fixation indistal radius fractures” [J]. Hand Surg Am, 2011, 36(4)598.
[7] Vlcek M, Landor I, Visna P, et al. Multidirectional screw fixation in the treatment of distal radius fractures using angle-stable plates [J]. Acta Chir Orthop Traumatol Cech, 2011, 78(1):27-33.
[8] 陈炳灿. 桡骨远端骨折掌侧手术治疗方法的回顾性分析[J]. 河南外科学杂志, 2010, 16(1):41-42.
[9] Wichlas F, Haas NP, Disch A, et al. Complication rates and reduction potential of palmar versus dorsal locking plate osteosynthesis for the treatment of distal radius fractures [J]. J Orthop Traumatol, 2014, 15(4) : 259-264.
[10] 李夏, 王秋根. 桡骨远端骨折手术治疗失误与掌侧锁定钢板并发症[J]. 国际骨科学杂志, 2011, 32(3):147-148.
[11] Kim JH, Lee HJ, Kim J, et al. Korean type distal radius anatomical volar system:a preliminary report[J]. Clin Orthop Surg, 2014, 6(3):258-266.
[12] 费红良, 王金法, 石盛生, 等. 桡骨远端骨折行掌侧T型钢板和背侧双钢板治疗后的临床效果研究分析[J]. 浙江创伤外科, 2015, 20(4):756-758.
[13] 陈宜, 陈烨, 王大伟, 等. 普通钢板与锁定钢板治疗桡骨远端C型骨折的疗效比较[J]. 实用临床医药杂志, 2015, 19(15):65-67.
[14] 李书振, 陈跃平, 林宗汉, 等. 尺骨茎突骨折对下尺桡关节稳定的桡骨远端骨折术后疗效的影响[J]. 中华创伤骨科杂志, 2014, 16(1) :85-87.