Objective To investigate the clinical effect of the treatment of type C2 fractures of distal radius with dis-tractor-assisted reduction and Kirschner wire internal fixation.Methods The 320 patients with type C2 fractures of distal radius were treated with distractor-assisted reduction and Kirschner wire internal fixation.Palmar inclination an-gle,ulnar deviation angle,radius height,fracture healing and complications were recorded.The therapeutic effect was evaluated according to the Gartland-Werley wrist function score.Results All patients were followed up for 12～16 months.The clinical healing time was 6～8(7.2±1.1)weeks,and the bony healing time was 8～12(9.5±1.6)weeks.Postoperative superficial branch injury of radial nerve occurred in 4 cases and peripinhole exudation with red-ness and swelling occurred in 8 cases.No complications such as osteomyelitis,infection,delayed or nonunion fracture occurred.At the last follow-up,the palmar inclination angle,ulnar deviation angle and radius height all returned to normal or near normal,which had statistical differences with the data of the second day after surgery(P＞0.05).Twelve months after operation,the results were evaluated according to the Gartland-Werley wrist joint score:98 cases were excellent,177 cases were good,34 cases were fair,11 cases were poor,and the excellent-good rate was 85.9％.Conclusions In the treatment of type C2 fracture of distal radius,distractor-assisted reduction and Kirschner wire in-ternal fixation have the advantages of simple operation,satisfactory reduction,firm fixation,less trauma and few com-plications,and satisfactory functional recovery of wrist joint.
万方数据
维普
