摘要
目的了解手术切开复位内固定治疗肘关节脱位合并尺骨冠状突骨折的临床疗效,寻找该损伤的有效治疗方案。方法采用手术切开复位内固定治疗肘关节脱位合并尺骨冠状突骨折患者67例。所有患者出院后随访其治疗效果和术后并发症。参考Mayo肘关节功能评分标准(MEPS)对疗效进行评价。结果所有患者出院后均获得随访,平均随访时间(2.3±1.2)年。67例患者的肘关节脱位均I期复位成功,复位成功率100%。术后尺骨冠状突骨折均愈合良好,未出现肘关节脱位。67例患者的MEPS评分结果为(86.4±6.7)分。其中,优29例,占43.3%;良16例,占23.9%;中14例,占20.9%;差8例,占11.9%。术后并发症发生率为8.96%。结论手术切开复位内固定治疗肘关节脱位合并尺骨冠状突骨折疗效显著,有较高的临床推广应用价值。
[ Objective ] To find out the clinical efficacy of open reduction and internal fixation （ORIF） surgery in the treatment of elbow dislocation and ulna coronoid process fracture and find an effective surgical treatment for el- bow dislocation and ulna coronoid process fracture. [ Methods ] 67 patients with elbow dislocation and ulna coronoid process fracture were treated with ORIF surgery. All patients were followed up the therapeutic effects and postopera- tive complications after discharge. Mayo elbow performance score （MEPS） was referred on the efficacy evaluation. [ Results] All patients were followed up after discharge, with an average follow-up time of （2.3±1.2） years. 67 pa- tients were successfully reduced in stage I of elbow dislocation, the reduction success rate was 100%. After surgery ulnar coronoid Fracture healed well, elbow dislocation did not appear. MEPS score results of 67 patients was （86.4± 6.7） points. Among these, excellent 29 cases, accounting for 43.3%; good in 16 cases, accounting for 23.9%; medium 14 cases, accounting for 20.9%; poor 8 cases, accounting for 11.9%. After surgery complication rate was 8.96%. [ Conclusions ] ORIF surgery has significant effect in the treatment of elbow dislocation and ulna coronoid process fracture, with a high clinical application value.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2014年第12期83-86,共4页
China Journal of Modern Medicine
关键词
肘关节脱位
尺骨冠状突骨折
手术切开复位内固定
临床疗效
elbow dislocation
ulna coronoid process fracture
open reduction and internal fixation surgery
clini-cal efficacy
