中文摘要：

目的：探讨外固定架联合克氏针治疗复杂Barton骨折的临床疗效。方法：对21例复杂Barton骨折者进行闭合复位或有限切开复位,克氏针经皮内固定联合外固定架外固定治疗。患者术后均获随访6～36个月。结果：骨折均于术后3～8周达临床愈合,3～4个月达骨性愈合,根据腕关节功能评分标准（Gartland-Werley评分）评定：优15例,良4例,可2例;优良率为90.47%。平均上肢功能评估问卷评分15分。结论：外固定架联合克氏针为复杂Barton骨折的治疗提供了一种新的选择。

英文摘要：

Objective： To evaluate the clinical effects of the external fixator combined with Kirschner wire in the treatment of complex Barton fracture. Methods： Twenty-one patients with complex Barton fractures were treated with the close reduction or limited-open reduction,and external fixator combined with Kirschner wire. All patients were followed up for 6 to 36 months. Results： The fractures healed after 3 to 8 weeks of operation,and osseous healing was found during 3 to 4 months. According to Gartland-Werley score,the excellent in 15 cases,good in 4 cases and general in 2 cases were identified,the excellent rate was 90. 47%. The average DASH questionnaire score was 15 points. Conclusions： The external fixator combined with Kirschner wire can provide a new approach in treating complex Barton fractures.