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使用解剖微型钢板治疗MasonⅡ及Ⅲ型桡骨头骨折的研究分析
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- Author:
- No author available
- Journal Title:
- China Clinical Practical Medicine
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1673-8799.2019.04.012
- Key Word:
- 桡骨头骨折;Mason分型;解剖微型钢板;内固定
Abstract： 目的 研究分析解剖微型钢板治疗MasonⅡ型及Ⅲ型桡骨头骨折的临床效果.方法 选取2016年6月至2018年6月沈阳医学院附属中心医院骨关节与骨创伤外科收治的20例行解剖微型钢板切开复位内固定治疗的MasonⅡ型及Ⅲ型患者,对其临床资料进行回顾性分析.男14例,女6例,年龄(39. 45 ± 4. 36)岁,年龄范围为23~65岁.采用Mayo肘关节功能评分标准,通过术后肢体疼痛情况、关节活动度、稳定性以及日常生活功能等方面,对术后效果进行分析评估.结果 20例患者均获得10~12个月的稳定随访,15例患者在术后3个月达到骨性愈合标准,其余5例在术后第4~5个月时间达到骨性愈合标准.有16例患者在术后2周即可恢复正常的腕关节及肩关节的功能活动,术后6周前臂旋转及肘关节屈伸功能完全恢复正常,其余4例患者在术后7~8周时恢复正常的前臂及肘关节活动度.结论 对于MasonⅡ及Ⅲ型桡骨头骨折,使用解剖微型钢板能够使骨折尽快愈合,术后早期便可进行功能恢复练习,前臂及肘关节活动及功能可获得满意恢复.
- [1]尹爱民,黄建锋,杨述华.桡骨头假体置换术与切开复位内固定术治疗MasonⅢ型桡骨头骨折的临床对比研究[J].2016,(10).
- [2]冯明星,杨颇,周家顺,等.肱骨外上髁骨移植重建难复性桡骨头粉碎性骨折[J].2018,(1).
- [3]明新月,明新武,肖辉,等.改良Ilizarov技术治疗成人桡骨头前脱位[J].2014,(1).
- [4]吴加东,孙焕建,周敦,等.不同方法治疗MasonⅢ型桡骨头骨折的疗效比较[J].2016,(3).
- [5]陈春华,吴作培,龚冲丞,等.微型钢板内固定治疗MasonⅡ、Ⅲ型桡骨头骨折[J].2015,(6).
- [6].Complications of radial head prostheses[J].2015,39(5).
- [7]Stuffmann E,Baratz ME.Radial head implant arthroplasty.[J].2009,34A(4).
- [8]Sommer C,Businger A,Ruedi TP.On-table reconstruction of comminuted fractures of the radial head.[J].2010,41(6).
- [9]Morrey BF,O'Driscoll SW,Neale PG,etc.Contribution of monoblock and bipolar radial head prostheses to valgus stability of the elbow.[J].2001,83/A(12).
- [10]Burkhart, Klaus Josef,Mueller, Lars P.,Gohlke, Frank E.,etc.Fractures of the Radial Head[J].2015,31(4).
- [11]Smits, A. J.,Giannakopoulos, G. F.,Zuidema, W. P..Long-term results and treatment modalities of conservatively treated Broberg-Morrey type 1 radial head fractures[J].2014,45(10).
- [12]M L, MASON.Some observations on fractures of the head of the radius with a review of one hundred cases.[J].1954,42(172).
- [13]Duckworth,A.D.,Wickramasinghe,N.R.,Clement,N.D.,etc.Long-term outcomes of isolated stable radial head fractures[J].2014,96/A(20).
- [14]B F, Morrey,R S, Bryan,J H, Dobyns,etc.Total elbow arthroplasty. A five-year experience at the Mayo Clinic.[J].1981,63(7).
- [15]Eygendaal D,van Riet RP,Kaas L,etc.The epidemiology of radial head fractures.[J].2010,19(4).
- [16]Kang C,Oka Y,Sugiyama K,etc.Comminuted fractures of the radial head. Comparison of resection and internal fixation.[J].2005,87(1).
- [17]Duckworth,A.D.,Wickramasinghe,N.R.,Clement,N.D.,etc.Radial head replacement for acute complex fractures: What are the rate and risks factors for revision or removal?[J].2014,472(7).