不同植入物治疗桡骨远端骨折的选择标准.

BACKGROUND: There are various methods for treating fractures and treatment outcomes are different. Thereafter, a review is needed to investigate the optimal implants in the treatment of distal radius fractures. OBJECTIVE: To review the different options of implants in the treatment of distal radius fractures. METHODS: A computer-based retrieval of PubMed (from January 2000 to March 2018) and CNKI (from January 1979 to December 2017) databases was conducted for the related literature. The keywords were “distal radius fracture, Colles fracture, Smith fracture, Barton Fracture and operation” in English and Chinese, respectively. Totally 70 eligible articles were included. RESULTS AND CONCLUSION: (1) Distal radius fractures are commonly seen in clinical practice. The purpose of treatment is to recover the function of the wrist joint by restoring the anatomy of the articular surface. (2) There is no method that can treat all types of distal radius fractures, and sometimes a single surgical procedure cannot completely treat complicated distal radius fractures. (3) There is no uniform treatment standard in clinical practice. By summarizing the foregoing, a unified treatment standard for the system is obtained. (4) Therefore, according to the specific fracture type, degree of displacement, age, complications, and functional requirements of the patient, an optimal and individualized plan is established for each patient. (5) For partial complicated fractures of the distal radius, combined treatment with a variety of implants will often achieve satisfactory results. [ABSTRACT FROM AUTHOR]