摘要
目的:通过与克氏针张力带(tension band wiring,TBW)比较明确应用CablePin系统治疗尺骨鹰嘴骨折的临床效果。方法:自2008年3月至2010年6月,65例尺骨鹰嘴骨折患者分为2组:CablePin组32例,男18例,女14例,年龄21～69岁,平均(53.69±13.42)岁,采用Cable-Pin系统内固定治疗;TBW组33例,男20例,女13例,年龄20～70岁,平均(53.18±13.36)岁,采用克氏针张力带治疗。记录2组手术时间、切口长度、术后血红蛋白含量、骨折愈合时间、手术并发症及肘关节功能HSS评分等,并进行统计学分析。结果:术后随访12～24个月,平均18.4个月。2组在骨折愈合时间(t=2.588,P=0.012),术后肘关节功能评分(Z=-2.039,P=0.041)和术后并发症发生方面差异有统计学意义,CablePin组优于TBW组。2组在手术切口长度、手术时间和术后血红蛋白含量方面差异无统计学意义。结论:CablePin系统内固定治疗尺骨鹰嘴骨折简便易行、疗效可靠、并发症少,优于克氏针张力带钢丝。
Objective：To prospectively evaluate the clinical result of Cable-Pin system in the treatment of olecranon fractures and compare with tension band wiring（TBW） method.
Methods：From March 2008 to June 2010,65 patients with olecranon fractures were divided into two groups：32 patients in Cable-Pin group were treated with Cable-Pin system,including 18 males and 14 females,ranging in age from 21 to 69 years,with an average of （53.69±13.42） years; 33 patients in TBW group were treated with Kirschner tension bend,including 20 males and 13 females,ranging in age from 20 to 70 years,with an average of（53.18±13.36） years. The incision length,operation time,the amounts of hemoglobin after operation,fracture healing time,complications and HSS elbow scores were recorded and analyzed statistically. The follow-up period ranged from 12 to 24 months,with an average period of 18.4 months.
Results：There were statistical differences （P〈0.05）in fracture healing time（t=2.588,P=0.012）,complication rate（χ2=4.534,P=0.033） and HSS elbow joint scores（Z=-2.039,P=0.041）between two groups,which all were superior to TBW in Cable-Pin group. There was no statistical differences（P〉0.05） in the length of incision（t=0.416,P=0.679）,operation time（t=0.816,P=0.417）and the postoperative amounts of hemoglobin （t=-0.553,P=0.294） between two groups.
Conclusion：Cable-Pin system is an easy and reliable method for the treatment of olecranon fractures with less complications and better functions than TBW.
出处
《中国骨伤》
CAS
2012年第5期393-396,共4页
China Journal of Orthopaedics and Traumatology
关键词
尺骨骨折
骨折固定术
内
肘关节
病例对照研究
Ulna fractures
Fracture fixation internal
Elbow joint
Case-control studies
