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首页> 外文期刊>Iranian red crescent medical journal >Treatment of Distal Radius Fracture Nonunion With Posterior Interosseous Bone Flap
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Treatment of Distal Radius Fracture Nonunion With Posterior Interosseous Bone Flap

机译：后骨间皮瓣治疗Rad骨远端骨折不愈合

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摘要

Nonunion of distal radius fractures is disabling. Treatment is difficult and the results are not predictable. However, posterior interosseous bone flap (PIBF) has been successful in treating forearm nonunion. Objectives: To treat distal radius fracture nonunion with PIBF as a new procedure. Patients and Methods: This prospective non-randomized cohort study was performed at two hospitals in Tehran between January 2011 and September 2015. PIBFs were applied in nine patients (10 nonunions) with a mean age of 55 years. Union success rate, grip strength, wrist range of motion, and forearm rotation were then evaluated. Results: Although four of the patients had a history of infection, all participants achieved fracture union at a mean time of 3.8 months. Grip strength improved by 12.4 kg. There was also 36° improvement in wrist flexion, 20° improvement in wrist extension, 60° improvement in forearm supination, and 46° improvement in forearm pronation. The range of motion and grip strength improvements were significant. Conclusions: Pedicled PIBF is a new option for treating distal radius fracture nonunion. The results are predictable in achieving union and good function, and this technique can be successfully used in cases with extensive soft-tissue damage or infection.
机译：radius骨远端骨折不愈合。治疗困难且结果不可预测。但是，后骨间骨瓣（PIBF）已成功治疗前臂骨不连。目的：用PIBF治疗radius骨远端骨折骨不连是一种新方法。患者和方法：这项前瞻性非随机队列研究是在2011年1月至2015年9月之间在德黑兰的两家医院进行的。PIBF用于9例患者（10例骨不连），平均年龄55岁。然后评估联合成功率，握力，腕部运动范围和前臂旋转。结果：尽管四名患者有感染史，但所有参与者平均在3.8个月的时间内达到了骨折愈合。握力提高了12.4公斤。腕部屈伸也改善了36°，腕部伸展改善了20°，前臂仰卧改善了60°，前臂内旋改善了46°。运动和抓地力的改善幅度非常大。结论：带蒂PIBF是治疗distal骨远端骨折骨不连的新选择。该结果在实现结合和良好功能方面是可预测的，并且该技术可以成功地用于广泛的软组织损伤或感染。

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