摘要
目的分析MasonⅢ型粉碎性桡骨小头骨折应用桡骨小头切除与切开复位内固定治疗的临床疗效差异。方法选取2014年3月~2019年3月于我院接收治疗的MasonⅢ型粉碎性桡骨小头骨折患者60例,随机分为桡骨小头切除治疗组(切除组,n=30)与切开复位内固定治疗组(内固定组,n=30),比较两组的临床疗效及肘关节功能评分。结果两组肘关节平均疼痛VAS评分、肘关节伸直角度具显著性差异(P<0.05);内固定组肘关节屈曲度、前臂旋转活动度均大于切除组(P<0.05);两组伸肘、旋前及旋后肌力减弱差异显著(P<0.05);切除组提携角平均增大及桡骨移位均明显大于内固定组(P<0.05);切除组Broderg和Morrey肘关节功能评分明显低于内固定组(P<0.05)。结论 MasonⅢ型粉碎性桡骨小头骨折经切开复位内固定治疗后患者关节活动范围、肌力及肘关节功能改善情况均明显优于桡骨小头切除术。
Objective To analyze the clinical efficacy difference between the radial head resection and the open reduction and internal fixation in the treatment of Mason type Ⅲ comminuted radial head fractures. Methods Sixty patients with Mason type Ⅲ comminuted radial head fractures treated in our hospital from March 2014 to March 2019 were en rolled. The clinical efficacy and elbow performance scores of the radial head resection treatment(resection group, n=30)and the open reduction and internal fixation treatment(internal fixation group, n=30) were compared. Results The mean pain perception of the elbow joints was satisfactory for VAS score and elbow joint extension angle(P<0.05). The flexion degree and forearm rotation of the internal fixation group were greater than that of the resection group(P<0.05).The difference in muscle strength between the elbow, pronation and supination was significant(P<0.05). The average increase of the angle of traction and the displacement of the tibia in the resection group were significantly greater than those in the internal fixation group(P<0.05). The scores of Broderg and Morrey elbow joint function in the resection group were significantly lower than the internal fixation group(P<0.05). Conclusion In the treatment of Mason type Ⅲcomminuted radial head fractures, open reduction and internal fixation treatment is significantly better than radial head resection in joint motion range, muscle strength and elbow function improvement.
作者
林春阳
LIN Chunyang(Department of Orthopaedics,Xiamen Third Hospital,Xiamen 361100,China)
出处
《中国现代医生》
2019年第31期62-64,共3页
China Modern Doctor
