微型钢板治疗MasonⅢ型桡骨小头骨折  

A Clinical Study of Treating Mason Ⅲ Radial Head Fracture by Minitype Plate Internal Fixation

作　　者：王治君[1] 尹安高 刘富光[1] 

机构地区：[1]云南省腾冲县人民医院骨科,云南腾冲679100

出　　处：《实用骨科杂志》2008年第9期518-519,共2页Journal of Practical Orthopaedics

摘　　要：目的评价微型钢板治疗MasonⅢ型桡骨小头骨折的临床效果。方法对10例MasonⅢ型骨折进行微型钢板内固定，根据患者肘关节活动疼痛、稳定性和肌力情况，依照Broberg和Morrey肘关节评分标准进行功能评价。结果10例患者随访12-24个月，平均20个月，肘关节平均评分58分（30～90）分，其中优1例，良4例，差5例，优良率50％。结论切开复位微型钢板内固定治疗复杂的MasonⅢ型桡骨小头骨折，不能取得良好的临床效果，如果要获得较好的肘关节活动和早期康复，可考虑桡骨小头切除或置换。Objective： To assess the effects to utilize minitype plate internal fixation in radial head fracture of Mason Ⅲ. Methods 10 cases of patients with closed radial head fracture（Mason Ⅲ ） under went minitype plate internal fixation by open reduction ,and the functional evaluation of elbow was carried out by the pain,stability,myodynamia of elbow,together with the elbow joint score of Broberg and Morrey. Results In 10 case of patients with 12-24 months follow up （average time 20 months）,the elbow joint mean score is 58 （30- 90） with excellent case 1 ,good 4,poor 5, and the fineness rate is 50%. Conclusion It is failed to treat complicated radial head fracture by minitype plate internal fixation,while maybe it is better to resect or replace radial head for these types.

关 键 词：微型钢板 桡骨 骨折 内固定 

分 类 号：R683.41[医药卫生—骨科学]