桡骨远端骨折畸形愈合与功能恢复的关系Relationship between malunion of distal radius fracture and functional recovery
杨帅;张世民;
摘要(Abstract):
畸形愈合是桡骨远端骨折治疗中常见的并发症之一。许多研究发现,畸形愈合是影响骨折预后的重要原因。本文总结了近年来国内外学者在生物力学分析及临床病例随访的研究资料,将骨折畸形愈合对腕关节功能恢复的影响进行综述。
关键词(KeyWords): 桡骨远端骨折;畸形愈合;功能恢复;生物力学
基金项目(Foundation):
作者(Author): 杨帅;张世民;
Email:
DOI:
参考文献(References):
- [1]Hanel DP,Jones MD,Tranble TE.Treatment of complex fractureswrist fractures[J].Orthop Clin of North(Am),2002,1:35-38.
- [2]Amadio PC,Botte MJ.Treatment of malunion of the distal radius[J].Hand Clin,1987,3:541-558.
- [3]Palmer AK,Werner FW.Biomechanics of the distal radial radioulnar-joint[J].Clin Orthop,1984,187:26-35.
- [4]于金河,李增炎,彭阿钦,等.桡骨短缩对桡腕关节影响的生物力学研究[J].临床解剖学杂志,2005,1:103-105.
- [5]Batra S,Gupta A.The effect of fracture-related factors on the func-tional outcome at1 year in distal radius fracture[J].Injury,2002,6:499-502.
- [6]Schneiders W,Biewener A,Rammelt S,et al.Distal radius fracture.Correlation between radiological and functional results[J].Un-fallchirurg,2006,10:837-844.
- [7]Freund W,Einsiedel T,Trnavac S,et al.Complaints in the follow-upof conservatively treated distal radius fractures-predictors in the ini-tial radiograph[J].Rofo,2007,6:627-633.
- [8]Moore DC,Hogan KA,Crisco JJ,et al.Three-dimensional in vivo ki-nematics of the distal radioulnar joint in malunited distal radius frac-tures[J].J Hand Surg,2002,2:233-242.
- [9]Short WH,Palmet AK,Wemer FW,et al.A biomechanical study ofdistal radial fracture[J].J Hand Surg(Am),1987,12:529-534.
- [10]Park MJ,Cooney WP 3rd,Hahn ME,et al.The effects of dorsally an-gulated distal radius fractures on capal kinematics[J].J Hand Sug(Am),2002,27:223-232.
- [11]汤锦波,谢仁国,侍德,等.桡骨远端骨折不同程度背屈畸形后腕动力学变化[J].中华创伤杂志,2001,17:613-616.
- [12]汪新民,钟世镇,赵卫东,等.桡骨远端骨折掌倾角改变的三维运动分析[J].山西医科大学学报,2003,34:147-149.
- [13]Kihara H,Palmer AK,Wemer FW,et al.The effect of dorsally angu-lated distal radius fractures on distal radioulnarjoint congruency andforearm rotation[J].J Hand Surg(Am),1996,21:40-47.
- [14]Fraser GS,Ferreira LM,Johnson JA,et al.The effect of multiplanardistal radius fractures on forearm rotation:in vitro biomechanicalstudy[J].J Hand Surg(Am),2009,5:838-848.
- [15]Tsukazaki T,Takagi K.Poor correlation between functional resultsand radiographic findings in Comes'fracture[J].Journal of HandSurgery(Br),1993,5:588-591.
- [16]Kumar S,Penematsa S,Sadri M,et al.Can radiological results be sur-rogate markers of functional outcome in distal radial extra-articularfractures[J].Int Orthop,2008,4:505-509.
- [17]Wilcke MK,Abbaszadegan H,Adolphson PY.Patient-perceived out-come after displaced distal radius fractures.A comparison betweenradiological parameters,objective physical variables,and the DASHscore[J].J Hand Ther,2007,4:290-298.
- [18]Rubinovich RM,Rennie WR.Colles'fracture:end results in relationto radiologic parameters[J].Can J Surg,1983,4:361-363.
- [19]于金河,冯建书,李增炎,等.桡骨远端骨折成角改变对桡腕关节影响的生物力学研究[J].中国矫形外科杂志,2005,10:750-752.
- [20]Baratz ME,Des-Jardins J,Anderson DD,et al.Displaced intra-articu-lar fractures of the distal radius:the effect of fracture displacement incontact stresses in a cadaver model[J].J Hand Surg(Am),1996,21:183-188.
- [21]于金河,李增炎,彭阿钦.桡骨远端关节内骨折对腕关节功能影响的生物力学研究[J].中国骨与关节损伤杂志,2005,20:252-254.
- [22]Knirk JL,Jupiter JB.Intra-articular fractures of the distal end of theradius in young adults[J].J Bone Joint Surg(Am),1986,5:647-659.
- [23]Mehara AK,Rastogi S,Bhan S,et al.Classification and treatment ofvolar Barton fractures[J].Injury,1993,24:55-59.
- [24]Karnezis IA,Panagiotopoulos E.Correlation between radiological pa-rameters and patient-rated wrist dysfunction following fractures of thedistal radius[J].Injury Int J Care Injured,2005,36:1435-1439.
- [25]Kevin CC,Sandra V,Kotsis HM.Predictors of functional outcomes af-ter surgical treatment of distal radius fractures[J].J Hand Surg,2007,1:76-83.
- [26]Cooney WP.Fractures of the distal radius:a modem treatment-basedclassification[J].Orthop Clin North(Am),1993,2:211-216.
- [27]Anzarut A,Johnson JA,Rowe BH,et al.Radiologic and patient-repor-ted functional outcomes in an elderly cohort with conservatively trea-ted distal radius fractures[J].J Hand Surg(Am),2004,6:1121-1127.
- [28]Arora R,Gabl M,Gschwentner M,et al.Acomparative study of clinicaland radiologic outcomes of unstable colles type distal radius fracturesin patients older than 70 years:nonoperative treatment versus volarlocking plating[J].J Orthop Trauma,2009,4:237-242.