冠突骨折及合并桡骨小头粉碎骨折临床疗效分析  

The evaluation of the treatment of coronoid process fractures combined with radial head fractures

作　　者：宋景仑[1] 王鹏程[2] 张奉琪[2] 王俊江[1] 张志娟 

机构地区：[1]河北金能邢矿集团总医院骨科,河北邢台054000 [2]河北医科大学第三医院骨科创伤急救中心,河北石家庄050051

出　　处：《中国医疗前沿（学术版）》2008年第2期3-4,共2页China Healthcare Innovation

基　　金：河北省科技厅攻关项目(No.052761665)

摘　　要：目的分析尺骨冠突骨折及合并桡骨小头粉碎骨折临床治疗效果。方法自2003年1月-2007年1月共收治尺骨冠突骨折及合并桡骨小头粉碎骨折43例。Regan和Morrey的分型:Ⅰ型冠突骨折13例、Ⅱ型冠突骨折17例、Ⅲ型冠突骨折13例。方法石膏外固定27例,手术16例,其中桡骨小头切除4例,桡骨小头置换4例。结果对随访资料完整的40例进行10月-30月(平均19个月)的随访,根据肘关节活动范围、疼痛程度,肌力,以及稳定性进行评定疗效:优21例,良12例,可5例,差2例,优良率82.5%。肘关节半脱位2例,无肘关节脱位及强直等并发症。结论在单纯冠突骨折情况下,Ⅰ型、Ⅱ型骨折应以保守治疗为主,Ⅲ型骨折应该手术修复冠状突骨折;在合并桡骨小头粉碎骨折情况下,冠状突Ⅰ型、Ⅱ型骨折时可以行桡骨小头切除术,但应修复桡侧副韧带,冠状突Ⅲ型骨折时应行桡骨小头修复或假体置换,手术修复冠状突骨折且同时修复桡、尺侧副韧带。依照这一理论治疗冠突骨折及合并桡骨小头粉碎骨折,临床效果满意。Objective The purpose of this article is to evaluate the effect on the treatment of coronoid process fractures combined with radial head comminuted fractures .Method: 43 patients with the fractures of ulna coronoid process combined with radial head comminuted fractures were treated from January 2003 to January 2007. According to Regan-Morrey classification, there were 13 patients with typeⅠfracture, 17 with typeⅡ and 13 with type Ⅲ. Option of treatment: 27 patients were treated by external fixation while 16...

关 键 词：冠突 桡骨小头 肘关节 骨折 生物力学 

分 类 号：R683[医药卫生—骨科学]