锁定加压钢板治疗桡骨远端骨折

目的评估锁定加压钢板治疗桡骨远端不稳定性骨折的临床疗效。方法手术治疗26例不同类型桡骨远端不稳定性骨折患者,采用锁定加压钢板进行内固定。结果26例均获随访,时间6～15个月,骨折均在6～12周愈合。桡骨轴向无短缩,钢板螺钉位置良好,无固定钉板松动、断钉及骨折再移位现象发生。按照改良McBride评分和纽约骨科医院腕关节评估标准：优14例,良9例,可3例。结论锁定加压钢板治疗桡骨远端骨折临床疗效满意,尤其对不稳定以及骨质疏松性桡骨远端骨折者,能够牢固维持复位,有利于患肢早期功能锻炼。

Locking compression plate fixation of intra-articular fractures of distal radius

Objective To evaluate the clinical effect on treatment of unstable fracture of distal radius by using locking compression plate （LCP）. Methods 26 patients with different type of unstable fractures of distal radius were fixed by LCP. Results 26 cases were followed up for 6 - 15 months. 26 got bony union in 6 - 12 weeks. Radius collapse was not found. No instrument breakage or loosening was found. According to the improved McBride scoring system and New York orthopaedics hospital synthetical evaluation system of wrist＇s function, the results were excellent in 14 cases, good in 9, and fair in 3. Conclusions LCP has been proven as a safe and effective implant for treatment of fractures of the distal radius. It is especially suitable for patients with osteoporosis and unstable fractures of the distal radius, in which it can firmly hold the reduced fracture segments and facilitate early postoperative rehabilitation.