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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Intramedullary nailing for correction of post-traumatic deformity in late-diagnosed distal radius fractures
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Intramedullary nailing for correction of post-traumatic deformity in late-diagnosed distal radius fractures

机译：髓内钉修复晚期late骨远端骨折的创伤后畸形

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摘要

Post-traumatic deformity of the distal radius may lead to multiple sequelae and severe functional impairment. Intramedullary fixation is a novel technique for treatment of distal radius fractures. The present study aimed to evaluate the functional and radiographic outcomes of intramedullary nailing for correction of post-traumatic deformity in late-diagnosed fractures of the distal radius. From July 2009 to February 2011, 16 patients with late-diagnosed displaced fractures of the distal radius were included. Eligible inclusion was extra-articular fracture for more than 4 weeks. Surgical correction and internal fixation with intramedullary nailing was performed for treatment of ten AO type A2 and six AO type A3 fractures. All patients were followed up radiographically and clinically for an average of 20.3 months. All fractures achieved bone union without major complications. Functional status and radiographic alignment significantly improved postoperatively. There was no significantly secondary displacement comparing early postoperative and final radiographic parameters. The functional results according to the Mayo wrist scoring system were good or excellent in 94 % of patients. The mean score was 83.8. Surgical correction and internal fixation with the intramedullary nail is a feasible and less invasive technique with few complications in the treatment of post-traumatic deformity of the distal radius. IV.
机译：创伤后radius骨远端畸形可能导致多处后遗症和严重的功能障碍。髓内固定是一种治疗radius骨远端骨折的新技术。本研究旨在评估髓内钉的功能和放射学结果，以纠正后期诊断的radius骨远端骨折的创伤后畸形。从2009年7月至2011年2月，纳入16例晚期late骨远端移位骨折的患者。符合条件的纳入是关节外骨折超过4周。手术矫正和髓内钉内固定术治疗了10例AO型A2和6例AO型A3骨折。所有患者均接受X线摄影和临床随访，平均20.3个月。所有骨折均达到骨愈合，无重大并发症。术后功能状态和影像学定位明显改善。比较术后早期和最终的放射学参数，没有明显的继发移位。根据Mayo手腕评分系统的功能结果在94％的患者中是好是好。平均分是83.8。髓内钉的手术矫正和内固定术是一种可行的，侵入性小的技术，在治疗radius骨远端创伤后畸形时几乎没有并发症。 IV。

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