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Clinical effect of distal radius fracture treated with open reduction and internal plate fixation

Chinese Medical Journal 2012年第1期125卷 140-143页

作者： ZHANG Pei-xun XUE Feng DANG Yu WANG Tian-bing CHEN Jian-hai XU Hai-lin FU Zhong-guo ZHANG Dian-ying JIANG Bao-guo Peking University People＇s Hospital Beijing 100044 China

Background For some specific comminuted unstable intra-articular fracture,the plaster cast can not maintain the alignment of the articular surface *** aim of this study was to evaluate the clinical effects of distal radius fracture treated with open reduction and internal plate fixation *** From January 2002 to March 2010,539 cases of distal radius fracture were treated with open reduction and internal fixation,including 184 males and 355 females aging 21-72 years （mean 57 years）.fractures were caused by falling to the ground in 459 cases,by traffic accident in 62 cases and by athletic injuries in 18 *** 539 cases,there were 523 cases of closed fracture and 16 cases of open *** to Arbeitsgemeinschaft fur Osteosynthesefragen （AO） standards of classification,there were 14 cases of A2 type,22 of A3 type,18 of B1 type,24 of B2 type,62 of B3 type,91 of C1 type,162 of C2 type and 146 of C3 *** time from injury to operation was 1-16 days （mean 5 days）.All patitents received open reduction and internal plate screw ***-seven patients with bone defect were given 6-15 g autologous ilium and 75 cases were given 5 ml calcium sulphate artificial aggregate after *** All incisions healed by first intention after *** were followed up for 15 to 32 months postoperatively （mean 22 months）.The fractures healed within 10-18 weeks after operation （mean 12 weeks）.During the last follow-up,the mean palmar tilt was （7.0±0.9）° and the mean ulnar variance was （21.0±4.2）°,showing significant difference when compared with preoperation （（-5.0±1.2）° and （8.0±3.8）°）.The radial heights were not *** to Gartland and Werley assessment system,the results were excellent in 314 cases,good in 163 cases,fair in 46 cases,and poor in 16 cases 12 weeks after operation,the excellent and good rate was 88.5%.Conclusions The clinical effect of distal radius fracture treated with open reduction and int

关键词： open reduction fracture fixation, internal recovery of function radius fracture

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External fixation and bone grafting for collapsed and comminuted distal radius fracture

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Chinese Journal of Traumatology 2005年第3期8卷 156-159,164页

作者：张双喜顾方瑞彭永利朱广明付江卢俊岳王江涛刘章民 Department of Orthopaedic Surgery People's Hospital of Renqiu Renqiu Hebei Province 062550 China

Objective: To study the therapeutic effect of collapsed and comminuted distal radius fracture. Methods: Twenty-six patients with collapsed and comminuted distal radius fracture were hospitalized from July 1998 to June 2003. All fractures were treated by the methods of open reduction, sustained bone grafting and passing joint external fixator to restore the anatomic shape of distal radius. Results: All 26 cases were followed up, and the results showed that the fractures have been united radiographically. The joint surfaces were intact and there was no length discrepancy occurred in patient’s radius. The average volar tilt was 6° to 15° and the average ulnar tilt was 18° to 25°. According to the Dieust criterion, 19 cases were rated as excellent and 7 as good. Conclusions: The method that applying passing joint external fixator and bone grafting for the treatment of collapsed and comminuted distal radius fracture could maintain the stability of fracture and restore the length of radius and the intact of joint surface.

关键词： radius fracture External fixator Bone grafting

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A rare combination injury of type III Monteggia fracture dislocation and ipsilateral epiphyseal fracture of distal radius in children. Is there a probability of missing the Monteggia component？

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Chinese Journal of Traumatology 2015年第1期18卷 51-53页

作者： K.C. Kapil Mani Arun Sigdel Anuj Jung Rayamajhi Department of Orthopedics Civil Service Hospital Minbhawan Kathmandu Nepal Department of Anaesthesiology Civil Service Hospital Minbhawan Kathmandu Nepal

Combined type III Monteggia fracture dislocation and ipsilateral distal radial epiphyseal fracture is a very rare injury. Because of difficulty in performing the proper clinical evaluation of a child in an acute injury state, one of the components of this combined injury may be missed. We report a ten- year-old male child with this kind of injury where the Monteggia lesion was initially missed at the emergency department. Later we found the combined epiphyseal fracture of distal radius and Monteggia lesion in the ipsilateral side of the same limb which was managed by closed reduction and K-wire fixation. Bony union as well as wrist and elbow motion was complete 3 months after surgical intervention.

关键词： radius fracture Monteggia's fracture Child

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Monteggia fracture dislocation equivalents analysis of eighteen cases treated by open reduction and internal fixation

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Chinese Journal of Traumatology 2011年第4期14卷 221-226页

作者： Ajay Pal Singh Ish Kumar Dhammi Anil Kumar Jain Rajeev Raman Prashant Modi Punjab Civil Medical Services-I Mukerian Punjab India Department of Orthopaedics UCMS & GTB HospitalDelhi 110095 India

Objective： Monteggia fracture disloca- tion equivalent, though already described by Bado, is still an unclassified entity. We aimed to retrospectively analyze 18 cases of Monteggia variants and discuss the injury mechanisms, management, and outcome along with a re- view of the literature. Methods： A retrospective record of Monteggia frac- ture dislocation （2003-2008） was reviewed from medical record department of our institute. Classic Monteggia frac- ture dislocation, children below 12 years or adults over 50 years, as well as open grade iI ＆ Ill cases were excluded from this study. Monteggia variant inclusion criteria in- cluded fracture of the proximal ulna together with a fracture of the radial head or neck and skeletal maturity. Totally 26 patients were identified with Monteggia variants and 18 were available for follow-up, including 11 males and 7 fe- males with the mean age of 35 years. The ulna fracture was treated by compression plating along with tension band wiring. Radial head/neck was reconstructed in 12 patients while excised in 6 patients. Results： Follow-up ranged from 1-4 years, mean 2.6 years. Patients were assessed clinicoradiologically. MayoElbow Performance Score outcomes. At final follow-up, was employed to assess the the results were excellent in 10 patients, good in 4, fair in 2 and poor in 2. Mean range of motion of the elbow was 20°, 116°, 50° and 55° for extension, flexion, pronation and supination, respectively. Two patients had complications in the form of heterotopic ossification and stiffness of the elbow. One nonunion ulna, primarily treated by tension band wiring, was managed by refixation with locking reconstruction plate and bone grafting. Bone grafting was only required in this patient for nonunion. Another patient had implants removed on his request. The results in our series closely correlated with extent of intraarticular damage, coronoid fracture and comminuted fractures. Conclusions： Monteggia fracture dislocation equiva-

关键词： Monteggia's fracture radius fracture Ulna

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Neglected reverse Essex-Lopresti injury with ulnar nerve compression

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Chinese Journal of Traumatology 2011年第2期14卷 111-113页

作者： Ajay Pal Singh Ish Kumar Dhammi Anil Kumar Jain Department of Orthopaedics UCMS & GTB Hospita Delhi 110095 India

A 45 year old woman was diagnosed as having anteromedial radial head dislocation and distal radius fracture five months after her injury on fight forearm. The radial head dislocation led to ulnar nerve compression. She had severe restriction of her elbow movements. She was treated with arthrolysis, decompression of the ulnar nerve and radial head resection. The reverse Essex Lopresti injury and radial head dislocation compressing the ulnarnerve has not been reported in English language literature to the best of our knowledge. A mechanism is proposed for the injury. In acute presentations, restoration of both the radioulnar joints should be done and neglected nature of such injury leads to suboptimal outcomes.

关键词： radius fracture Unar nerve Elbow joint

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