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首页> 外文期刊>Injury >Dorsal plating for displaced intra-articular fractures of the distal radius.
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Dorsal plating for displaced intra-articular fractures of the distal radius.

机译：背侧plating骨用于移位的radius骨远端关节内骨折。

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Thirty patients with a mean age of 42 years and a dorsally displaced intra-articular fracture of the distal radius were treated by dorsal plating (Forte, PI and AO T plates). Twenty-eight required autogenous iliac crest bone graft.Mobilisation was started at 1-2 weeks and patients were left free by 6-8 weeks. At a minimum of 6 months (mean 11 months) functional outcomes were excellent or good in 93% according to the Gartland and Werley score and 60% according to Green and O'Briens modified score. The mean time taken to return to work was 10 weeks. At the final follow-up, three patients had intra-articular steps, two of <1mm and one of <2mm. Four patients had five major complications. One extensor tendon rupture, one reflex sympathetic dystrophy (RSD), one significant radial shortening requiring a Darrachs' procedure, one painful and incongruent distal radio-ulna joint (DRUJ) also requiring a Darrachs' and one early subluxation of the DRUJ requiring re-operation. Eleven patients had plates removed. The indications for this was either irritation of extensor tendons, restriction of movement, as part of the treatment of one of the above complications or as part of the initial treatment protocol.In these high energy injuries in the younger age group there exists no ideal solution. Internal fixation allows more predictable restoration of anatomy and early return to function.
机译：30例平均年龄为42岁且radius骨远端移位的关节内骨折的患者接受了背侧板（Forte，PI和AO T板）治疗。需要二十八个自体骨骨移植。动员开始于1-2周，患者闲置6-8周。在至少6个月（平均11个月）时，根据Gartland和Werley评分，功能结局优良或良好，分别为93％和Green和O'Briens改良评分，分别为60％。恢复工作的平均时间为10周。在最后的随访中，三名患者进行了关节内台阶，其中两名<1mm，一名<2mm。四名患者有五种主要并发症。一只伸肌腱断裂，一只反射性交感神经营养不良（RSD），一项明显的radial骨缩短术需要Darrachs手术，一项疼痛且不协调的远端radio尺骨关节（DRUJ）也需要Darrachs'术和一项DRUJ早期半脱位需要再次手术操作。 11名患者的钢板被移除。适应症包括刺激伸肌腱，活动受限，上述并发症之一的治疗或初始治疗方案的治疗。在这些年轻的高能量损伤人群中，没有理想的解决方案。内固定可使解剖结构更可预测地恢复，并尽早恢复功能。

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