[Intra-articular fracture of the distal radius: results following osteosynthesis with a support plate].

G A Ferguson, A Leutenegger, G Mark, H Breiter, T Rüedi
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Abstract

The treatment of comminuted intra-articular fractures of the distal radius often requires an operative fixation. Beside the recently recommended external fixator, the support plate fixation offers a helpful alternative to treatment. Between 1980 and 1986, 30 wrists in 29 patients with intra-articular fractures of the distal radius were stabilized with a buttress plate an the Kantonsspital Chur, Switzerland. The mean follow-up-time was 15 months. These follow-ups showed that the buttress plate in treatment of complicated intra-articular fractures allows a satisfactory reduction and stabilization with restoration of the articular congruity and the possibility for early active assisted motion. Buttress plate fixation still remains a demanding technique, which in complicated cases, should be reserved for the experienced surgeon.

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[桡骨远端关节内骨折:用支撑钢板接骨后的结果]。
桡骨远端粉碎性关节内骨折的治疗通常需要手术固定。除了最近推荐的外固定架外,支撑板固定是一种有用的治疗选择。1980年至1986年间,瑞士kantonspital Chur对29例桡骨远端关节内骨折患者中的30例腕关节进行了支撑钢板固定。平均随访时间为15个月。这些随访表明,支撑钢板治疗复杂的关节内骨折可获得满意的复位和稳定,恢复关节完整性,并有可能早期进行主动辅助运动。支撑板固定仍然是一项要求很高的技术,在复杂的病例中,应由经验丰富的外科医生进行。
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[Intravenous regional sympathetic block with guanethidine. Retrospective study of 251 blocks of the upper limb in 68 patients]. [Intra-articular fracture of the distal radius: results following osteosynthesis with a support plate]. [Differentiated treatment of fractures of the distal radius]. [Early and late complications of radius fractures in the classical location]. [Corrective interventions in malunited fractures of the distal radius].
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