신연 금속판 술기를 이용한 원위 요골 골절의치료 - 2례 보고 -

Abstract

The comminuted intraarticular fracture of the distal radius requires early, accurate reduction of the articular surfaces and sustained restoration of anatomic position. The most commonly employed methods are pins and plaster, external fixation, percutaneous pinning and open reduction and internal fixation. There are pitfalls, advantages and disadvantages inherent in each method. Open reduction and internal fixation has been condemned for some time without any controlled series documention its ineffectiveness. Anatomic open reduction and internal fixation with early mobilization, however, are recommanded for nearly every other intraarticular fracture. Two cases of displaced intraarticular fracture of distal radius was managed with distraction plating technique. We will present these cases in detail.