摘要
目的:探讨可吸收棒与微型钛板在桡骨小头骨折治疗中的临床效果和应用价值的研究。方法:回顾性选取2014年1月-2017年1月于医院骨科诊治的桡骨小头骨折患者58例,根据不同的治疗方式分为两组,其中对照组28例患者采用微型钛板治疗;研究组30例患者采取可吸收棒治疗,患者术后均以石膏固定4周后,采用X射线复查恢复情况,统计两组患者的骨性愈合时间、肘关节HHS评分及并发症发生情况。结果:(1)两组患者在2年内骨折均愈合,研究组患者的骨性愈合时间(13.86±2.05)周明显少于对照组患者的骨性愈合时间(15.54±2.71)周(P<0.05);(2)治疗后4周,研究组患者的肘关节HHS评分为(95.32±4.14)分明显高于对照组患者的(82.48±5.27)分(P均<0.05);(3)研究组患者中仅有1例发生骨延迟愈合,对照组患者中2例肘关节活动范围缺失、2例骨折位移、1例肘关节骨关节炎,并发症发生率分别为3.33%和17.85%存在显著差异(P均<0.05)。结论:桡骨小头骨折患者肘关节损伤严重,采用可吸收棒治疗能取得与微型钛板相似的治疗效果,并且患者的骨性愈合时间短、肘关节功能恢复较快,同时避免并发症的发生。
Objective： To investigate the clinical effect and application value of absorbable rod and mini titanium plate in the treatment of radial head fractures. Methods： 58 patients with radial head fractures in the department of orthopedics of our hospital from January 2014 to January 2017 for diagnosis and treatment were retrospectively chosen. According to the different treatment methods, they were randomly divided into two groups. 28 patients in the control group were treated with micro - titanium plate. 30 patients in the study group were treated with absorbable rods. The patients were treated with plaster for 4 weeks. All patients were treated with plaster for 4 weeks, and X-ray was used for the review of the recovery situation. The bone healing time, elbow joint HHS score and the incidence of complications of the two groups of patients were taken for statistics. Results： （1）The two groups of patients within 2 years of fracture were healed, and the bone healing time （13.86± 2.05） weeks in the study group was significantly lower than that in the control group （15.54± 2.71） weeks （P〈0.05）. （2） 4 weeks after treatment, the HHS score of the elbow in the study group was （95.32± 4.14） points higher than that of the control group （82.48± 5.27） （P〈0.05）. （3） In the study group, only 1 case had delayed bone healing. In the control group, 2 cases of elbow joint were missing, 2 cases had fracture displacement, 1 case had osteoarthritis of the elbow, the complication rate was 3.33% and 17.85% There were significant differences （P〈0.05）. Conclusion： The treatment of the elbow joint in the patients with radial head fractures is serious, and the treatment with the absorbable rod can achieve similar treatment effect with the mini titanium plate, and the bone healing time is short, the function of the elbow joint is restored quickly, and the occurrence of the complication is avoided.
作者
田鹏
于洋
李天旺
李雪峰
范红旗
TIAN Peng, YU Yang, LI Tian-wang, LI Xue-feng, FAN Hong-qi(252 hospital of PLA, Baoding, Baoding, Hebei, 071000, Chin)
出处
《现代生物医学进展》
CAS
2018年第5期947-950,共4页
Progress in Modern Biomedicine
基金
国家"十二五"重大专项(2012ZX10002003-004-006)
关键词
桡骨小头骨折
可吸收棒
微型钛板
应用价值
Radial head fracture
Absorbable rod
Micro titanium plate
Application value
