Distal radius fractures Surgical treatment of 27 cases.docVIP

 PAGE \* MERGEFORMAT 5 Distal radius fractures Surgical treatment of 27 cases [Keywords:] radial; fractures; surgery Distal radius fractures are one of the most common clinical fractures, accounting for about one-sixth of the body fracture [1], most cases can be treated with closed reduction and cast immobilization. For a simple fracture caused by high-energy injury cast immobilization for the joint position and stability of the fixed face of poor results, resulting radiocarpal and distal radioulnar joint osteoarthritis of the median nerve and ulnar nerve compression, intractable pain and other complications [2], with the fixation materials and techniques continue to improve, Open reduction and fixation has been widely applied .2006 3 months to September 2009, our hospital for surgical treatment of distal radius fractures in 27 cases, results were satisfactory, the report is as follows. 1 Clinical data 1.1 General Information The group of 27 patients, 11 males and 16 females, aged 23 to 78 years, mean age of 49.7 years. The causes of injury: 9 cases of traffic accidents, falls injury in 5 cases, a fall in 13 cases. Fractures AO classification: A33 cases; B13 cases; B24 cases; B37 cases; C15 cases; C25 cases. combined median nerve injury in 1, are closed fresh fractures. 1.2 limb underwent surgical brachial plexus block anesthesia on tourniquet, intraoperative C-arm machine monitoring reduction effects. Take the volar wrist vertical incision, exposing the distal radius and the articular surface fractures down and traction to maintain smooth articular surface to restore radial length, palmar and ulnar inclination angle, a small fracture with Kirschner wire fixation block first, and then use T-plate. serious defects such as fracture, bone grafting desirable underwent T-plate. After the surgical field bleeding put a rubber drain pieces, close the incision. this group of cases, 1 case of median nerve injury in fractures discovered after the discovery