20例MasonⅢ型桡骨头粉碎性骨折的两种术式疗效分析(1)
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[摘要] 目的 探讨Mason Ⅲ型桡骨头粉碎性骨折在临床治疗中的术式选择。 方法 将20例Mason Ⅲ型桡骨头粉碎性骨折患者随机分为切开复位内固定组和桡骨头切除组，手术后随访至少12个月，对患者进行患肢恢复功能的评估，包括对两组患者术后关节活动度、主观满意度、视觉疼痛评分、臂肩肘失能评分和Broberg & Morrey评分等进行比较分析。 结果 桡骨头切除组较切开复位内固定组在关节屈曲、伸直和屈曲伸直弧度、主观满意度、臂肩肘失能评分和Broberg & Morrey评分方面具有统计学意义(P < 0.05)。 结论 早期切除移位的粉碎性桡骨头可以获得满意的效果。
[关键词] 桡骨骨折；切开复位；内固定；桡骨头切除
[中图分类号] R683.41 [文献标识码] B [文章编号] 1673-9701(2012)30-0061-02
Analysis on the effects of open reduction and resection of head radius in radial head fracture patients
ZHU Xiongbai ZHOU Guangwei LIN Chuicong CHEN Lei
Department of Orthopedics， The First Affiliated Hospital of Wenzhou Medical College， Wenzhou 325000， China
[Abstract] Objective To explore the effects of open reduction and resection of head radius in patients with radial head fractures of Mason type III. Methods Twenty patients with radial head fractures were randomized to open reduction group (n = 10) and resection of head radius group (n = 10). The levels of range of motion， degree of patient satisfaction， visual analogous scale of pain， shoulder and hand score system， and the Brobery&Morrey elbow performance score system were evaluated after a more than 12 months’ follow-up. Results Most of the indicators showed significant difference in the two groups (P < 0.05). Conclusion To resect the head radius at the early stage play an vital role in promoting the recovery of patients with radial head fractures of Mason type III
[Key words] Radius fractures； Open reduction； Internal fixation； Resection of head radius
桡骨头骨折约占肘关节骨折的1/3，可以单独出现，也可以合并尺骨鹰嘴骨折、冠状突骨折、肘关节脱位和韧带损伤等[1]。对于无移位的骨折，可以采取非手术治疗，而对于粉碎的、移位的或合并肘关节不稳的桡骨头骨折则采取手术治疗。手术方法包括桡骨头切除、切开复位内固定和桡骨头置换等。本组病例对Mason Ⅲ桡骨头粉碎性骨折患者采用切开复位内固定和桡骨头切除两种方法进行治疗 ......
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