摘要
目的探讨经髓腔与经双皮质两种克氏针张力带固定方案治疗WadsworthⅡ、Ⅲ型尺骨鹰嘴骨折临床疗效及安全性差异。方法研究选取2012年1月~2013年12月收治WadsworthⅡ、Ⅲ型尺骨鹰嘴骨折患者40例,采用随机数字表法分为A组和B组,每组各20例。A组：男性13例,女性7例;年龄20~48岁,平均（34.64±5.72）岁;B组：男性14例,女性6例;年龄19~48岁,平均（34.58±5.70）岁。A组患者采用经髓腔克氏针张力带固定方案治疗,B组患者采用经双皮质克氏针张力带固定方案治疗。比较两组患者肘关节屈伸活动度、前臂旋转活动度、肘关节功能评分优良率及术后并发症发生率。结果两组患者肘关节功能评分优良率、肘关节屈伸活动度及前臂旋转活动度比较差异无统计学意义（P〉0.05）;B组患者术后并发症发生率显著优于A组,差异有统计学意义（P〈0.05）。结论克氏针张力带固定方案用于WadsworthⅡ、Ⅲ型尺骨鹰嘴骨折效果确切,均可有效促进肢体活动度恢复,改善肘关节功能;但经双皮质克氏针张力带固定方案在降低术后并发症方面优于经髓腔克氏针张力带固定方案。
Objective To investigate the clinical efficacy and safety differences of two kinds of kirschner wire tension belt fixation in the treatment of Wadsworth typeⅡ and Ⅲ olecranon fracture via medullary cavity and double cortex. Methods Forty patients with Wadsworth typeⅡ and Ⅲ olecranon fracture were chosen in the period from Jan. 2012 to Dec. 2013 in our hospital and randomly divided into group A and group B,with 20 patients in each group. In group A,there were 13 males and 7 females,with an average age of（ 34. 64 ± 5. 72） years（ 20-48years）; in group B,there were 14 males and 6 females,with an average age of（ 34. 58 ± 5. 70） years（ 19-48 years）.Patients in group A were treated with kirschner wire tension belt fixation via medullary cavity,and patients in group B were treated with kirschner wire tension belt fixation via double cortex. The elbow flexion and extension activity,forearm rotation activity,excellent and good rate of elbow joint function score and postoperative complication rate of both groups were compared. Results There was no significant difference in the excellent and good rate of elbow joint function score,elbow flexion and extension activity and forearm rotation activity between the two groups（ P〈0. 05）. The postoperative complication rate of group B was significantly better than that of group A（ P〈0. 05）.Conclusion Kirschner wire tension belt fixation in the treatment of Wadsworth type Ⅱ and Ⅲ olecranon fracture can efficiently promote the recovery of limb activity and improve the function of elbow joint. Compared with kirschner wire tension belt fixation via medullary cavity,kirschner wire tension belt fixation via double cortex in the treatment of Wadsworth type Ⅱ and Ⅲ olecranon fracture possesses lower postoperative complication risk.
出处
《创伤外科杂志》
2016年第3期160-162,共3页
Journal of Traumatic Surgery
关键词
尺骨鹰嘴骨折
克氏针张力带
固定
olecranon fracture
kirschner wire tension belt
fixation
