Fixation of distal radius fractures in adults: A review

被引：42

作者：

Obert, L. ^{[1
]}

Rey, P-B. ^{[1
]}

Uhring, J. ^{[1
]}

Gasse, N. ^{[1
]}

Rochet, S. ^{[1
]}

Lepage, D. ^{[1
]}

Serre, A. ^{[1
]}

Garbuio, P. ^{[1
]}

机构：

[1] Univ Franche Comte, Dept Orthopaed Trauma Surg Plast Surg & Hand Inju, Med & Pharm Fac,CIC IT 808,IFR INSERM 133, Besancon Teaching Hosp Ctr,EA Innovat Imaging Egi, F-25033 Besancon, France

来源：

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH | 2013年 / 99卷 / 02期

关键词：

Distal radius fractures; Osteosynthesis by reduction and internal fixation (ORIF); DISPLACED INTRAARTICULAR FRACTURES; INJECTABLE CALCIUM-PHOSPHATE; FRAGMENT-SPECIFIC FIXATION; INTERNAL-FIXATION; OPEN REDUCTION; UNSTABLE FRACTURES; EXTERNAL FIXATION; PLATE-OSTEOSYNTHESIS; VOLAR FIXATION; BONE-CEMENT;

D O I：

10.1016/j.otsr.2012.03.023

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：

In patients for whom function is a priority, anatomic reduction and stable fixation are prerequisites for good outcomes. Several therapeutic options exist, including orthopedic treatment and internal fixation with pins (intra- and extrafocal), external fixation which may or may not bridge the wrist, and different internal fixation techniques with dorsal or palmar plates using or not, locking screws. Arthroscopy may be necessary in case of articular fracture. In the presence of significant metaphyseal bone defects, filling of the comminution with phosphocalcic cements provides better graft stability. The level of evidence is too low to allow recommending one type of fixation for one type of fracture; and different fixation options to achieve stable reduction exist, each with its own specific complications. With the new generations of palmar plate, secondary displacement is becoming a thing of the past. (C) 2013 Published by Elsevier Masson SAS.

引用

页码：216 / 234

页数：19

共 91 条

[1]

[Anonymous], COCHRANE DATABASE SY

[2] OPEN REDUCTION AND INTERNAL-FIXATION OF COMMINUTED, INTRAARTICULAR FRACTURES OF THE DISTAL RADIUS [J].