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Salvage procedure after malunited distal radius fractures and management of pain and stiffness

机译:桡骨远端骨折畸形后的挽救性手术以及疼痛和僵硬的处理

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摘要

Indications for surgical treatment of distal radius fractures (DRF) remain controversial in the literature, especially in elderly patients. Complication rates after operatively treated DRF are low and well documented. These include malunion, degenerative osteoarthritis in the radiocarpal joint and subsequently pain and impaired hand function. If conservative treatment fails then salvage procedures are necessary. This review summarizes the therapeutic options available to treat degenerative osteoarthritis after malunited distal radius fractures, regardless of the initial operative or conservative treatment.
机译:桡骨远端骨折 (DRF) 的手术治疗适应证在文献中仍存在争议,尤其是在老年患者中。手术治疗DRF后的并发症发生率很低,并且有据可查。这些症状包括畸形愈合、桡腕关节退行性骨关节炎,以及随后的疼痛和手部功能受损。如果保守治疗失败,则需要进行挽救手术。本综述总结了可用于治疗桡骨远端骨折畸形后退行性骨关节炎的治疗选择,无论初始手术治疗还是保守治疗。

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