PILON FRACTURES OF THE WRIST - DISPLACED INTRAARTICULAR FRACTURES OF THE DISTAL RADIUS

被引：7
作者：
PORTER, ML [1 ]
TILLMAN, RM [1 ]
机构：
[1] PARK HOSP,DAVYHULME,ENGLAND
来源：
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1992年 / 17B卷 / 01期
关键词：
D O I：
10.1016/0266-7681(92)90013-R
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
22 patients who sustained high energy wrist injuries are reported. These complex injuries resulted in articular disruption of the distal radius. Associated injuries included scapho-lunate dissociation (18%), central die-punch injuries (14%), ulnar fractures (41%) and diastasis at the distal radio-ulnar joint (23%). Nine fractures (41%) were open and almost a third of patients had other skeletal injuries. All patients were treated by external fixation and reviewed after a mean follow-up of 2 1/2 years. There were no excellent results and only ten good ones (45%). The mean functional impairment was 32%. The external fixator was effective in maintaining extra-articular alignment, but not in ensuring accurate reduction of the articular surface. Residual incongruity of the joint surface was an adverse prognostic feature. All five patients (22%) with an articular step of more than 2 mm. developed symptomatic arthritis. Failure to restore the joint line did not account for all the unsatisfactory results; persistent scapho-lunate dissociation and problems at the distal radio-ulnar joint were also important.
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页码：63 / 68
页数：6
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