桡骨远端骨折手术入路研究现状

Current Status of Research on Surgical Access to Distal Radius Fractures

摘要: 桡骨远端骨折是一种常见的临床骨折类型，占全身骨折的20%，摔倒后骨质疏松症的老年患者和高能量创伤后的年轻患者更为常见。大多数桡骨远端骨折是不稳定的，早期会影响腕关节的活动。如果治疗不及时或者方法不当，不仅会导致短期疼痛，还会导致创伤性骨关节炎、腕关节僵硬等并发症。随着医疗技术的快速发展，切开复位内固定是治疗桡骨远端不稳定骨折的首选。桡骨远端骨折手术有多种治疗方法，但应选择何种入路，尽可能显露并减少其他损伤。为此，本文就近年桡骨远端骨折的手术入路作一综述。旨在对临床工作中桡骨远端骨折手术入路的选择提供帮助。

Abstract: Distal radius fractures are a common type of clinical fracture, accounting for 20% of all systemic fractures, and are more common in older patients with osteoporosis following a fall and in younger patients following high-energy trauma. Most distal radius fractures are unstable and can interfere with wrist motion in the early stages. If not treated in time or in a proper way, it will not only lead to short-term pain, but also to complications such as traumatic osteoarthritis and wrist stiffness. With the rapid development of medical technology, incisional reduction and internal fixation is the first choice for the treatment of unstable fractures of the distal radius. There are various treatment methods for distal radius fracture surgery, but what kind of approach should be chosen to reveal and minimize other injuries as much as possible? For this reason, this article provides a review of the surgical approaches for distal radius fractures in recent years. It is intended to help in the se-lection of surgical approaches for distal radius fractures in clinical work.