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1、SCIENTIFICARTICLEPercutaneousDistalRadiuseUlnaPinningofDistalRadiusFracturestoPreventSettlingJinYoungKim,MD,SukKeeTae,MDPurposeToevaluatetheclinicalandradiologicaloutcomesofdistalradiusfracturestreatedbypercutaneousfixationusingdistalradiuseulnapinningandtoass
2、essitseffectivenessespe-ciallyforpreventingfracturesettling.MethodsWeretrospectivelyreviewed18distalradiusfractures(15AOtypeA2and3AOtypeC1).RangeofmotionandDisabilitiesoftheArm,Shoulder,andHandscoreswereevaluated.Wemeasuredradiographicparametersatthefinalfollo
3、w-upandcomparedthemwiththoseonimmediatepostoperativex-rays.ResultsAllfracturesunitedandaveragetimetoinitialhealingwas6.9weeks(range,6e7wk).Averagefollow-upwas29months(range,26e43mo).Averagewristflexionandextensionwere70and65,respectively.Averageforearmsupina
4、tionandpronationwere82and83,respectively.Averagepainscorewas1.2andaverageDisabilitiesoftheArm,Shoulder,andHandscorewas13.Meandifferenceofulnarvariance,volartilt,andradialinclinationbe-tweenimmediateandfinalfollow-upx-rayswas0.7mm,1,andlessthan1,respectivel
5、y.ConclusionsPercutaneousfixationofdistalradiusfracturesusingdistalradiuseulnapinninghadfavorableradiologicandfunctionaloutcomesandwaseffectiveinpreventingfracturesettlingduringinitialhealinginunstableextra-articularfracturesandsomesimplesagittalsplitintra-art
6、icularfractures.(JHandSurgAm.2014;39(10):1921e1925.CopyrightÓ2014bytheAmericanSocietyforSurgeryoftheHand.Allrightsreserved.)Typeofstudy/levelofevidenceTherapeuticIII.KeywordsDistalradiusfracture,percutaneouspinning,fracturesettling.ERCUTANEOUSPINNINGISANaccep
7、tedprocedureotherfixationmethods.SeveralauthorsnotedthatPfordistalradiusfracturesandhasproducedpercutaneouspinningdoesnotsustainimmediatereliableoutcomesforextra-articularandpostoperativereduction,andadegreeofradial1certaintypeofintra-articularfractures.Howeve
8、r,itshorteningbetweenreductionandfractureunionmust2,3hasbeencriticizedforalackoffixation,especiallybeanticipated.Radialshorteningmayaffectpa-forfracturesettlingduringhealingdespitethead-ti
