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目的探讨治疗骨质疏松症合并桡骨远端骨折的方法。方法共32例骨质疏松症合并桡骨远端骨折,其中24例采用手法复位,8例外固定架手术治疗,同时抗骨质疏松治疗。结果本组32例经随访6~10个月,平均8.5个月。术后复查X线片,掌倾角,尺偏角,桡骨轴向短缩移位基本矫正,采用K ientst功能评分系统进行评分,优良率94%。结论对于桡骨远端骨质疏松骨折的治疗大部分稳定性骨折可经保守治疗取得良好的效果,而对不稳定性骨折,选择有限切开复位植骨外固架固定治疗是较好的方法,同时配合抗骨质疏松治疗提高骨含量促进骨折愈合,缩短骨折愈合时间。
Objective To investigate the method of treating distal radius fracture with osteoporosis. Methods A total of 32 cases of osteoporosis with distal radius fractures, of which 24 cases were treated by hand reduction, 8 cases of external fixator surgery, anti-osteoporosis treatment. Results The group of 32 patients were followed up for 6 to 10 months, an average of 8.5 months. Postoperative reexamination X-ray, palmar tilt, ulnar deviation, axial radial shortening shift basic correction, using Kientst function scoring system for scoring, excellent and good rate of 94%. Conclusion For the treatment of distal radius osteoporosis fractures, most conservative fractures can be treated with good results. However, for the treatment of unstable fractures, it is a good method to select limited open reduction and bone graft external fixation. At the same time with the anti-osteoporosis treatment to improve bone content and promote fracture healing, shorten the fracture healing time.