摘要
目的探讨内固定术治疗MasonⅡ-Ⅳ型桡骨头骨折的临床疗效。方法 2002年3月～2012年6月采用内固定术治疗桡骨头骨折患者41例,其中MasonⅡ型18例,Ⅲ型17例,Ⅳ型6例;开放性骨折Gustilo分型Ⅱ和ⅢA各1例。合并他处多发性骨折9例。伤后至手术时间平均6.7 d(3 h～30 d)。采用克氏针固定8例,螺钉固定11例,微型钢板固定15例,可吸收螺钉固定7例。结果本组41例均获随访,平均时间10(4～28)个月;骨折均愈合。按照Broberg和Morrey肘部评分标准判定疗效:优22例,良12例,可4例,差3例,优良率为82.9%(34/41)。2例儿童患者发生克氏针滑脱至皮下,骨折愈合后立即取出克氏针。结论内固定术能够改善MasonⅡ-Ⅳ型桡骨头骨折患者的肘关节功能;骨折端解剖复位、牢固内固定效果、良好修复关节的稳定性、早期功能锻炼能使患者获得良好的疗效。
Objective To investigate the clinical efficacy of internal fixation of radial head fractures with type Mason Ⅱ to IV. Methods A total of 41 radial head fracture cases with type Mason Ⅱ to IV admitted from March 2002 to June 2012 were treated, including 18 cases of type Ⅱ , 17 cases of type m and 6 cases of type IV according to Mason typing. Open fracture was found in 2 cases, with type Ⅱ and type Ⅲ A for each ac- cording to Gustilo typing. Multiple fractures were combined in 9 cases. The duration of injury to operation was 3 hours to 30 days with an average of 6.7 days. The internal fixation was Kirschner wire fixation in 8 cases, screw fixation in 11 cases, micro-plate fixation in 15 cases and absorbable screws fixation in 7 cases. Results All 41 patients were followed up for 4 to 28 months with an average of 10 months. All fractures achieved heal- ing. According to the Broberg and Morrey elbow score judgment, the outcome was revealed excellent in 22 cases, good in 12 cases, fair in 4 cases and poor in 3 cases, and the fineness rate was 82.9% （34/41）. Kirschner nee- die slipping to subcutaneous was found in 2 children and taken out after fracture healing. Conclusions The surgical intervention of intemal fixation can improve the prognosis of elbow function for radial head fracture pa- tients with type Mason Ⅱ to IV. The specific measures of fracture anatomic reduction, firmly fixed effects, good stability of joint repair and early functional exercise can help patients get good effect.
出处
《中国现代手术学杂志》
2013年第2期118-122,共5页
Chinese Journal of Modern Operative Surgery
关键词
桡骨骨折
骨折固定术
内
radius factures
fracture fixation, internal
