摘要
目的探讨小切口治疗单纯桡骨头骨折的临床疗效。方法对2016年1月至2016年12月我院收治的18例Mason II型伴前臂旋转受限的桡骨头骨折患者,采用小切口复位螺钉固定术进行治疗,其中男11例,女7例,年龄18～63岁,平均(37.8±12.1)岁;左侧8例,右侧10例。术后18个月根据Broberg&Morrey评分标准评定肘关节功能。结果 18例术后均获18～24个月,平均19个月随访。平均手术时间35 min (25～50 min),伤口平均长度为2.5 cm (2.0～3.2 cm)。本组均在术后3个月内愈合,愈合时间为4～10周,平均9.8周。术后18个月Broberg&Morrey评分:优12例,良6例,优良率为100%。患者均未发生伤口感染、神经损伤、骨折移位及内固定失效等并发症。结论小切口治疗桡骨头骨折可获得满意的治疗效果,值得临床推广。
Objective To evaluate the results of mini-incision for radial head fractures.Methods A total of 18 patients with Mason type II fracture associated with restricted forearm rotation were treated with screw fixation through mini-incision at our department from Jan 2016 to Dec 2016.There were 11 males and 7 females,aged 18-63 years(average:37.8±12.1 years).Left elbow was involved in 8 patients and right in 10.The elbow function was evaluated by the Broberg&Morrey scoring system at 18 months postoperatively.Results All patients were followed up for an average of 19 months(range:18-24 months).The average duration of operation was 35 minutes(range:25-50 minutes).All fractures healed within 3 months.Healing time raged 4-10 weeks(mean:9.8 weeks).By the Broberg&Morrey scores at 18 months postoperatively,12 patients were rated as excellent,6 as good,giving an excellent to good rate of 100%.No wound infection,nerve injury,fracture displacement or fixation failure occurred.Conclusions Treatment of radial head fracture through a mini-incision can achieve satisfactory outcomes.It should be promoted in clinic.
作者
李绍良
王满宜
鲁谊
LI Shao-liang;WANG Man-yi;LU Yi(Department of Traumatology and Orthopaedics,Beijing Jishuitan Hospital,Beijing,100035,China)
出处
《中国骨与关节杂志》
CAS
2019年第4期303-306,共4页
Chinese Journal of Bone and Joint
基金
国家自然科学基金面上项目(81672137)
关键词
桡骨
肘关节
骨折固定术
内
小切口
Radius
Elbow joint
Fracture fixation,internal
Mini-incision
