锁定加压接骨板联合同种异体骨治疗桡骨远端C型骨折.docVIP

锁定加压接骨板联合同种异体骨治疗桡骨远端C型骨折 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：锁定加压接骨板联合同种异体骨治疗桡骨远端C型骨折 1 1 一般资料 2 2 治疗 3 文2：锁定加压接骨板治疗桡骨远端关节内骨折 7 1资料与方法 7 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 11 正文 锁定加压接骨板联合同种异体骨治疗桡骨远端C型骨折 文1：锁定加压接骨板联合同种异体骨治疗桡骨远端C型骨折 Abstract： Objective To study the clinical outcome of treatment for typeC fracture of the distal radius with locking compression plate and bone From to ，22 cases of typeC fracture of the distal radius were treated with open reduction and internal fixation with Tshape locking compression plate by the volar allografts were implanted into the to the standard of AO,all cases were classified as type C1 in 12 cases,type C2 in 6 cases,type C3 in 4 the cases aged from 28 to 73 yea with the average of 58 exercises were followed postoperatively in the early Followup ranged from 6 to 18 the fractures were healed and the healing time was from 12 to 24 weeks with the mean of 16 to the measurement of the Xray films,the degrees of the volar tilt were from 5 to 14 with the mean degree of degrees of the ulnar tilt were from 15 to 23 with the mean degree of wrist functio were evaluated according to the Gartland and Werley result was excellent in 13 cases,good in 6 cases,fair in 2 cases and poor in 1 excellent and good rate was %.There were no complicatio in all Locking compression plate and bone allograft can prevent the subsidence of the radial articular surface and achieve satisfactory clinical outcome for treatment of typeC fracture of the distal radius. Key words:radius fracture;bone plate;therapy 目前对于桡骨远端骨折一般采用AO分型，即A型:关节外骨折;B型:部分关节内骨折;C型:完全关节内骨折。根据骨折的严重程度，每一型内又再分1、2、3亚型。其中C型又分为C1型：关节内简单骨折(2块),无干骺端粉碎;C2型：单纯关节面骨折合并复杂的干骺端骨折;C3型：复杂的关节面骨折和干骺端骨折。我院自2003年1月～2008年4月收治桡骨远端C型骨折22例，使用锁定加压接骨板联合同种异体骨治疗，取得满意疗效，现 总结 如下。 临床资料 1 一般资料 本组共22例，男性10例，女性12例;年龄28～73岁，平均58岁。左侧桡骨远端C型骨折9例，右侧13例;18例为新鲜桡骨远端C型骨折，4例为陈旧性骨折。按AO分型，C1型12例，C2型6例，C3型4例。致伤原因：跌伤15例，道路 交通 伤7例。皆因手法复位石膏外固定失败而行手术治疗。 2 治疗 手术方法 采用桡骨远端掌侧入路。患者取平卧位，患肢外展于托手架上，采用臂丛神经阻滞麻醉。