目的:探讨切开复位内固定治疗掌侧型巴尔通骨折(Barton's fracture)的临床疗效.方法:回顾性分析2007年1月至2009年12月间我院采用手术治疗掌侧型Barton's骨折34例患者的临床资料.结果:34例患者手术后骨折关节面均达到解剖复位,住院时间4-13d,平均5.6d,1例患者术后切口浅表感染,经换药、抗生素应用后愈合.随访6-12个月,定期复查X线片,临床愈合时间6-8周,平均6.9周,34例均骨性愈合,腕关节功能恢复时间 2-10个月,功能评价优26例,良6例,可1例,差1例,优良率94.12%.结论:早期手术治疗掌侧型Barton's骨折可达到骨折关节面的解剖复位,固定可靠,术后可以早期进行功能锻炼,有利于腕关节功能恢复,且术后并发症较少.%Objective: To evaluate the clinical effects of open reduction and internal fixation on patients with palmar Barton s fracture. Method: From Jan. 2007 to Dec. 2009, 34 cases with Barton s fracture were treated by open reduction and internal fixation. Result: All patients achieved articular surface anatomic reduction after surgery, length of stay in hospital was 4-13days, an average of 5. 6days. One case had superficial infection after surgery, and recovered with dressing and antibiotics. The patients were followed up for 6 to 12 months months. All patients were given X-ray examination regularly. The fracture healing time were 6-8 weeks, with an average of 6. 9 weeks. 34 cases were bone union and wrist function recovery time were 2-10 months. According to the Dienst wrist score was excellent in 26 cases, good in 6 cases,fair in 1 case and poor in 1 case. Conclusion:The early treatment of palmar Barton's fractures with surgery could a-chieve articular surface anatomic reduction and reliable fixation, early functional exercises, beneficial to wrist function recovery with less complications after surgery.
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