The distal radius and the proximal row of carpal joints are important components of the carpal joint. Injury to the distal radius may result in decreased range of motion and strength of the wrist, and changes in the wrist appearance can hurt the patients. Developing microsurgical techniques, and updating orthopedic metal instruments and bone biological products provide more possible means for surgical reconstruction. Currently, reconstruction of the distal radius with autologous bone grafting is the mainstream surgical method, and the fibula and ilium are the main options for grafting. Moreover, other repair methods have also been reported, such as prosthetic repair and repair using the ulna to replace the radial function. This article reviews the main forms of surgical repair and reconstruction after distal radius injury reported in recent years, compares the clinical effects of different surgical methods, and summarizes the advantages and disadvantages of each surgical method, hoping to provide useful information for the treatment of distal radius injury.

[目的]探讨Trimed钩钢板在Danis-Weber A型外踝骨折中的临床疗效.[方法]2019年7月-2021年1月,共收治Weber A型踝关节骨折患者20例,按医患沟通结果分为两组.10例采用Trimed钩形钢板固定外踝骨折(钩钢板组),10例采用无钩钢板固定外踝骨折(无钩钢板组).比较两组临床与影像资料.[结果]两组患者均顺利完成手术,钩钢板组外踝部手术时间显著短于无钩钢板组(P＜0.05).两组患者随访10个月以上,随术后时间推移,两组患者AOFAS和Maryland评分均显著增加(P＜0.05),相应时间点,钩钢板组的AOFAS和Maryland评分均显著优于无钩钢板组(P＜0.05).影像方面,钩钢板组术后影像显示的骨折复位质量显著优于无钩钢板组(P＜0.05),钩钢板组影像显示骨折愈合时间显著早于无钩钢板组(P＜0.05).[结论]对于Danis-Weber A型外踝骨折,钩钢板内固定的临床效果明显优于无钩钢板.