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【目的】探讨应用掌侧入路万向双柱锁定加压钢板(LCP)内固定治疗桡骨远端不稳定性骨折的临床价值。【方法】对26例桡骨远端不稳定性骨折采用掌侧入路,应用 AO 2.4 mm 桡骨远端万向双柱内固定。术后早期功能锻炼,从影像学、术后腕关节功能恢复、术后并发症等方面进行评估,随访疗效。【结果】患者均获为期6~12个月的术后随访,X 线片示术后达临床愈合。2例出现正中神经损伤,1例骨折端再次发生骨折再移位,无切口感染病例。根据 X 线片测量,术后掌倾角平均9.4°(6°~15)°；尺偏角平均18.9°(11°~26)°。根据 Garland&Werley 标准进行腕关节功能评价：优19例,良4例,可3例,优良率为92.1%。【结论】万向双柱 LCP 治疗桡骨远端不稳定性骨折能够恢复桡骨远端的解剖形态,有利于患肢腕关节功能的恢复,减少术后并发症的发生,远期疗效确切。“,”Objective]To investigate the clinical value of the treatment of unstable distal radius fractures by using the universal double column locking compression plate (LCP)in the treatment of the distal radius.[Methods]26 cases of unstable distal radius fractures were treated with AO 2.4 mm distal radius universal double column internal fixation.Postoperative early functional exercise was detected,and imaging studies, postoperative recovery of functional recovery of the wrist joint function,postoperative complications,and oth-er aspects of the evaluation were conducted with effect follow-up.[Results]All patients were followed up for 6 to 12 months,and the X wire showed clinical healing after surgery.2 cases of median nerve injury,1 cases of fracture and re dislocation of the fracture,no incision infection.According to the measurement of X ray,the average postoperative angle was 9.4°(6°~1 5°);ulnar deviation was 18.9 degrees (1 1 degrees to 26 degrees). The Garland&Werley standards were used to evaluate the wrist function :excellent in 1 9 cases,good in 4 ca-ses,3 cases,the excellent rate was 92.1%.[Conclusion]Universal dual column LCP in the treatment of unsta-ble distal radius fractures can restore the anatomical morphology of the distal radius,which is beneficial to the recovery of the function of the wrist joint function,reduce the incidence of postoperative complications,the long-term effect is exact.