摘要
目的分析桡骨头骨折的治疗方法及其疗效。方法对1999-2004年收治的30例桡骨头骨折的患者,其中采用保守治疗(保守组)9例(均属MasonⅠ型),切开复位内固定(固定组)15例(属Mason Ⅰ型1例,MasonⅡ型12例,MasonⅢ型2例),桡骨头切除(切除组)6例(均属MasonⅢ型),并对其功能进行评定。结果治疗后各组随访1．0～4．5年,平均2．8年。按Mayo肘关节功能评分评定:保守组的优良率为88．9％(8／9),固定组优良率为86．7％(13／15),切除组优良率为83．3％(5／6)。结论桡骨头骨折应尽量解剖复位,如难以通过内固定方法重建,则采用单纯桡骨头切除和韧带修复。
Objective Study the outcome and find a optimal strategy of radial head fracture. Methods 30 cases were treated in our department from 1999 to 2004. Among them, 9 cases received conservative treatment（all type Mason Ⅰ ）; 15 cases received ORIF（1 case type Mason Ⅰ ,12 cases type Mason Ⅱ , 2 cases type Mason Ⅲ ）; 6 cases received removing radial head（ 6 cases type Mason Ⅲ ） ,Results All cases were followed-up for average 2.8 years （1 - 4.5 years）. According to the Mayo Elbow Performance Index, The excellent and good rate of treatment in nonoperative, ORIF as well as excision of the radial head was 88. 9 % （8/9） ,86. 7 % （13/ 15） and 83. 3 % （5/ 6） respectively. Conclusion The radial head fracture should be anatomically reduced. If can not be reconstructed by ORIF, then excision of radial head or mental prosthesis replacement is alternative.
出处
《中华手外科杂志》
CSCD
北大核心
2006年第3期158-159,共2页
Chinese Journal of Hand Surgery
基金
十五国家攻关计划基金资助项目(2003BA712A11-12)
关键词
骨折
治疗结果
桡骨头
Fractures
Treatment outcome
Radial head
