摘要
目的：观察前后路联合固定治疗尺骨冠状突O′Driscoll ⅢB型骨折的临床疗效。方法对38例尺骨冠状突O′Driscoll ⅢB型骨折患者采用前后路联合固定方式治疗,末次随访时采用Mayo肘关节功能评分系统（ MEPS）评定肘关节功能。结果35例患者获得随访,时间10-24个月,3例失访。35例骨折均获得骨性愈合,时间8-18周。根据MEPS评定疗效：优26例,良4例,可3例,差2例,优良率为85．7%。患者均无伤口深部感染,1例出现肘关节僵硬,1例出现异位骨化。结论应用前后路联合固定方式治疗O′Driscoll ⅢB型骨折,可以在直视下复位骨折,牢固固定,恢复肘关节解剖关系,有利于关节早期功能锻炼,效果良好。
Objective To explore the clinical efficacy of combined fixation via anterior and posterior approach for treatment of ulnar coronoid fracture of O′Driscoll type ⅢB. Methods Thirty-eight patients with ulnar coronoid frac-ture of O′Driscoll typeⅢB were treated by combined fixation through anterior and posterior approach, the elbow func-tion was evaluated by Mayo elbow performance score （ MEPS） at the last follow-up. Results Thirty-five patients were followed up for 10-24 months,and 3 patients were lost. Thirty-five patients obtained bone union in 8-18 weeks. Ac-cording to MEPS,26 patients were excellent,4 good,3 fair,and 2 poor. The excellent-good rate was 85. 7%. None of the patients had deep wound infection. One patient appeared elbow stiffness,1 patient appeared elbow heterotopic ossi-fication. Conclusions Combined fixation via anterior and posterior approach for treatment of ulnar coronoid fracture of O′Driscoll typeⅢB can have satisfactory clinical effect because it allows reduction under direct vision,leads to rig-id fixation and exercise functiona early.
出处
《临床骨科杂志》
2016年第5期603-605,共3页
Journal of Clinical Orthopaedics
关键词
肘损伤
尺骨鹰嘴
尺骨冠状突骨折
骨折固定术
前后路
elbow injuries
ulnar olecranon
ulnar coronoid fractures
fracture fixation
approach of anterior and poste-rior
