Intra-articular distal radius fractures.docVIP

 PAGE \* MERGEFORMAT 6 Intra-articular distal radius fractures [Keywords:] intra-articular distal radius fractures Intra-articular distal radial fracture of the more prevalent in clinical, previously closed reduction and traditional treatment methods, or plaster splint fixation for the treatment, there is poor efficacy in some patients, there radial shortening, the abnormal formation of the joint surface is not healed wrist injury arthritis, median nerve entrapment and the refractory wrist pain and other complications [1]. In recent years, with the right distal radius fracture of deepening understanding, promoting intra-articular distal radius fractures treated by surgery [2]. Since 2001, the authors are not satisfied with closed reduction and surgical treatment of 20 patients, results were satisfactory. A clinical data 1.1 General Information 20 patients, 11 males and 9 females. Age 38 to 81 years, with an average 56-year-old. As noted in AO / ASIF classification: B1 type 2 cases, B2 5 cases, B3 type 3 cases, C1-type 4 cases, C2-type 4 cases, C3 type 2 cases. 20 cases of patients with radial fracture with closed reduction have been OK, forearm plaster fixed clip. Lateral view X-ray examination is being reset in poor condition and surgical treatment. Operative time: Emergency surgery in 9 cases, the rest of the 3 ~ 10 d after injury carried out. 1.2 surgical Patients underwent brachial plexus anesthesia, the upper arm with a tourniquet to stop bleeding, surgery to C-arm X-ray machine monitor reset effect. 1.2.1 percutaneous fixation (2 cases) first closed traction reduction to correct the fracture displacement, partial collapse of articular surface were first percutaneous K-wire poking reset. Such as poking reset satisfied, then the radial styloid process through the skin from the proximal ulnar cortex oblique Kirschner wire fixation for wear, such as closed reduction and poor, may be small incision reduction with Kirschner wire fixation. 1.2.2 ext