File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Clinical effects of locking plate system in treating distal radial fractures

TitleClinical effects of locking plate system in treating distal radial fractures
鎖定接骨板系統治療橈骨遠端骨折的臨床療效觀察
Authors
KeywordsDistal radial fracture (橈骨遠端骨折)
Locking plate system (鎖定接骨板系統)
Internal fixation (內固定)
Issue Date2009
Citation
Chinese Journal Of Reparative And Reconstructive Surgery, 2009, v. 23 n. 11, p. 1294-1297 How to Cite?
中國修復重建外科雜誌, 2009, v. 23 n. 11, p. 1294-1297 How to Cite?
AbstractOBJECTIVE: To determine the clinical results of locking plate system in the treatment of distal radial fractures. METHODS: From May 2004 to November 2006, 75 patients were treated with 2.4 mm locking plate system. There were 41 males and 34 females, with a mean age of 51 years old (range, 13-82 years old). The locations were left side in 34 cases and right side in 41 cases. The cause of injury was a low energy fall in 49 cases, falling from height in 14 cases, traffic accident in 6 cases and sports injuries in 6 cases. All patients were diagnosed as having closed fracture. According to Müller-AO classification, there were 14 cases(18.7%) of type A, 5 cases(6.7%) of type B, and 56 cases(74.6%) of type C. The time from injury to operation was 5 hours to 27 days (mean 6 days). RESULTS: A total of 75 patients were followed up at 3 months, 71 patients at 6 months, 68 patients at 1 year and 51 patients at 2 years. Healing by first intention of incision was achieved in 73 cases, and infection occurred in 2 cases. Fracture reduction failed at 1 month, 3 months and 6 months in 1 case, respectively; 1 case received plaster fixation and 2 cases received re-fixation and autograft of ilium; and fracture healed in 3 cases at last follow-up. Two patients complained of skin numbness at site of superficial branch of radial nerve after 1 day, 1 patient had wound pain after operation, and 1 patient had infection of tendon at 3 days and 5 days in 1 case respectively. At last follow-up, the ranges of motion of wrist joint were (80 +/- 9) degrees for pronation, (86 +/- 7) degrees for supination, (57 +/- 10) degrees for dorsal flexion, (51 +/- 13) degrees for palmar flexion, (18 +/- 7) degrees for radial inclination, and (28 +/- 7) degrees for ulnar deviation. According to modified Green scoring, the results were excellent in 66 cases, good in 6 cases and poor in 3 cases. At last follow-up, according to Knirk criterion for osteoarthritis, there were 22 cases of grade I and 5 cases of grade II, and all were classified as type C. CONCLUSION: Internal fixation of distal radial fractures with 2.4 mm locking plate system provided a stable fixation with good clinical outcomes.
目的探討采用2.4mm帶鎖鋼板固定系統治療橈骨遠端骨折的療效。方法2004年5月-2006年11月,采用切開復位、2.4mm帶鎖鋼板固定系統內固定治療75例橈骨遠端骨折。男41例,女34例;年齡13~82歲,平均51歲。左側34例,右側41例。損傷原因:摔傷49例,高處墜落傷14例,交通事故傷6例,運動傷6例。均為閉合性骨折。橈骨遠端骨折根據Müller-AO分型:A型14例(18.7%),B型5例(6.7%),C型56例(74.6%)。受傷至手術時間5h~27d,平均6d。結果術后3、6個月,1、2年分別有75、71、68及51例患者獲隨訪。術后73例切口Ⅰ期愈合,2例發生感染,換藥后3、6周愈合。1例術中螺釘植于軟骨下,術后第2天調整螺釘位置,術后1、3及6個月各1例復位失敗,其中1例予石膏外固定,2例行再固定及自體髂骨植骨,末次隨訪時骨折均愈合;術后1d2例訴橈神經淺支分布區域皮膚麻木,口服營養神經藥物后分別于術后5d和3個月癥狀消失,1例術后持續傷口疼痛,術后半年疼痛自行緩解;術后3、5d各1例發生肌腱感染,經保守治療后3、6周治愈。末次隨訪時腕關節活動范圍:旋前(80±9)°,旋后(86±7)°,背屈(57±10)°,掌屈(51±13)°,橈偏(18±7)°,尺偏(28±7)°。根據改良Green等評分標準,獲優66例,良6例,差3例。末次隨訪時根據Knirk等標準,22例(29.3%)有1級骨性關節炎改變,5例(6.7%)有2級骨性關節炎改變,均為C型骨折患者。結論采用2.4mm帶鎖鋼板固定系統治療橈骨遠端骨折,臨床效果良好。
Persistent Identifierhttp://hdl.handle.net/10722/170159
ISSN
2015 SCImago Journal Rankings: 0.128

 

DC FieldValueLanguage
dc.contributor.authorZhou, Zen_US
dc.contributor.authorKwan, KYHen_US
dc.contributor.authorLaw, TWen_US
dc.contributor.authorLeung, FKen_US
dc.date.accessioned2012-10-30T06:05:42Z-
dc.date.available2012-10-30T06:05:42Z-
dc.date.issued2009en_US
dc.identifier.citationChinese Journal Of Reparative And Reconstructive Surgery, 2009, v. 23 n. 11, p. 1294-1297en_US
dc.identifier.citation中國修復重建外科雜誌, 2009, v. 23 n. 11, p. 1294-1297-
dc.identifier.issn1002-1892en_US
dc.identifier.urihttp://hdl.handle.net/10722/170159-
dc.description.abstractOBJECTIVE: To determine the clinical results of locking plate system in the treatment of distal radial fractures. METHODS: From May 2004 to November 2006, 75 patients were treated with 2.4 mm locking plate system. There were 41 males and 34 females, with a mean age of 51 years old (range, 13-82 years old). The locations were left side in 34 cases and right side in 41 cases. The cause of injury was a low energy fall in 49 cases, falling from height in 14 cases, traffic accident in 6 cases and sports injuries in 6 cases. All patients were diagnosed as having closed fracture. According to Müller-AO classification, there were 14 cases(18.7%) of type A, 5 cases(6.7%) of type B, and 56 cases(74.6%) of type C. The time from injury to operation was 5 hours to 27 days (mean 6 days). RESULTS: A total of 75 patients were followed up at 3 months, 71 patients at 6 months, 68 patients at 1 year and 51 patients at 2 years. Healing by first intention of incision was achieved in 73 cases, and infection occurred in 2 cases. Fracture reduction failed at 1 month, 3 months and 6 months in 1 case, respectively; 1 case received plaster fixation and 2 cases received re-fixation and autograft of ilium; and fracture healed in 3 cases at last follow-up. Two patients complained of skin numbness at site of superficial branch of radial nerve after 1 day, 1 patient had wound pain after operation, and 1 patient had infection of tendon at 3 days and 5 days in 1 case respectively. At last follow-up, the ranges of motion of wrist joint were (80 +/- 9) degrees for pronation, (86 +/- 7) degrees for supination, (57 +/- 10) degrees for dorsal flexion, (51 +/- 13) degrees for palmar flexion, (18 +/- 7) degrees for radial inclination, and (28 +/- 7) degrees for ulnar deviation. According to modified Green scoring, the results were excellent in 66 cases, good in 6 cases and poor in 3 cases. At last follow-up, according to Knirk criterion for osteoarthritis, there were 22 cases of grade I and 5 cases of grade II, and all were classified as type C. CONCLUSION: Internal fixation of distal radial fractures with 2.4 mm locking plate system provided a stable fixation with good clinical outcomes.en_US
dc.description.abstract目的探討采用2.4mm帶鎖鋼板固定系統治療橈骨遠端骨折的療效。方法2004年5月-2006年11月,采用切開復位、2.4mm帶鎖鋼板固定系統內固定治療75例橈骨遠端骨折。男41例,女34例;年齡13~82歲,平均51歲。左側34例,右側41例。損傷原因:摔傷49例,高處墜落傷14例,交通事故傷6例,運動傷6例。均為閉合性骨折。橈骨遠端骨折根據Müller-AO分型:A型14例(18.7%),B型5例(6.7%),C型56例(74.6%)。受傷至手術時間5h~27d,平均6d。結果術后3、6個月,1、2年分別有75、71、68及51例患者獲隨訪。術后73例切口Ⅰ期愈合,2例發生感染,換藥后3、6周愈合。1例術中螺釘植于軟骨下,術后第2天調整螺釘位置,術后1、3及6個月各1例復位失敗,其中1例予石膏外固定,2例行再固定及自體髂骨植骨,末次隨訪時骨折均愈合;術后1d2例訴橈神經淺支分布區域皮膚麻木,口服營養神經藥物后分別于術后5d和3個月癥狀消失,1例術后持續傷口疼痛,術后半年疼痛自行緩解;術后3、5d各1例發生肌腱感染,經保守治療后3、6周治愈。末次隨訪時腕關節活動范圍:旋前(80±9)°,旋后(86±7)°,背屈(57±10)°,掌屈(51±13)°,橈偏(18±7)°,尺偏(28±7)°。根據改良Green等評分標準,獲優66例,良6例,差3例。末次隨訪時根據Knirk等標準,22例(29.3%)有1級骨性關節炎改變,5例(6.7%)有2級骨性關節炎改變,均為C型骨折患者。結論采用2.4mm帶鎖鋼板固定系統治療橈骨遠端骨折,臨床效果良好。-
dc.languagechien_US
dc.relation.ispartofChinese journal of reparative and reconstructive surgeryen_US
dc.relation.ispartof中國修復重建外科雜誌-
dc.subjectDistal radial fracture (橈骨遠端骨折)-
dc.subjectLocking plate system (鎖定接骨板系統)-
dc.subjectInternal fixation (內固定)-
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshBone Platesen_US
dc.subject.meshFemaleen_US
dc.subject.meshFracture Fixation, Internal - Instrumentation - Methodsen_US
dc.subject.meshFracture Healingen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRadius Fractures - Surgeryen_US
dc.subject.meshYoung Adulten_US
dc.titleClinical effects of locking plate system in treating distal radial fracturesen_US
dc.title鎖定接骨板系統治療橈骨遠端骨折的臨床療效觀察-
dc.typeArticleen_US
dc.identifier.emailLeung, FK:klleunga@hku.hken_US
dc.identifier.authorityLeung, FK=rp00297en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid19968165-
dc.identifier.scopuseid_2-s2.0-77950479513en_US
dc.identifier.hkuros265560-
dc.identifier.volume23en_US
dc.identifier.issue11en_US
dc.identifier.spage1294en_US
dc.identifier.epage1297en_US
dc.publisher.placeChinaen_US
dc.identifier.scopusauthoridZhou, Z=35782675900en_US
dc.identifier.scopusauthoridKwan, K=24833266000en_US
dc.identifier.scopusauthoridLaw, TW=35781798800en_US
dc.identifier.scopusauthoridLeung, FK=7103078631en_US
dc.customcontrol.immutablecsl 150211-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats