桡骨头骨折的手术疗效分析  

Surgical treatment of radial head fracture

作　　者：齐勇[1] 李贵涛[1] 徐汪洋[1] 刘燕芳[1] 余俊喜[1] 陈为坚[1] 

机构地区：[1]广东省第二人民医院骨科,广州510317

出　　处：《国际外科学杂志》2009年第8期523-525,共3页International Journal of Surgery

摘　　要：目的总结不同骨折类型以及采取不同手术方法治疗桡骨头骨折术后肘关节功能恢复，分析不同因素对桡骨头骨折手术疗效的影响。方法回顾总结2002年8月～2008年2月经手术治疗的46例桡骨头骨折患者的临床资料，其中男性34例，女性12例，手术方法包括克氏针内固定、微型钢板／螺钉内固定以及桡骨头切除术。结果本组患者随访8个月-6年，平均随访2年零4个月，按照Mayo肘关节功能评估，优良35例，优良率为76．1％，Mason型骨折的术后关节功能优良率明显高于MasonⅢ、Ⅳ型骨折，微型螺钉及钢板固定组、2周内手术组的患者优良率也明显高于相应对照组。结论手术治疗有移位的桡骨头骨折能获得良好的治疗效果，术后功能恢复受骨折分型、内固定方式以及手术时机的影响。Objective To investigate and analyze whether the different types of radial head fracture and internal fixations have influence on the out comeof elbow function after surgery. Methods We reviewed the clinical data of 46 cases of radial head fractures from August 2002 to December 2008, 34 males, and 12 females, aged from 19 to 51years. All these cases underwent open reduction and internal fixation including fixation with Kirschner wire fixation, mini-plate and/or screw fixation and radial head resection. Results Forty-six cases were followed up in this study for a period of 8 months to 4 years （ mean 2 years and 4 months）. According to Mayo assessment of elbow function, the resuhs of 35 cases were excellent or good （ 35/46 cases, 76. 1% ）. Better function recovery was got in those who were preferred mini-screw internal fixation or combined with mini-plate. The same results were also found in those with Mason typeⅡfracture and in those underwent surgery within 2 weeks. Conclusions Good results can be got through surgical treatment as the indication of open reduction is clear, especially in cases with radial head fracture of Mason type Ⅱ and Ⅲ. The type of radial head fracture, the method of internal fixation and the timing of surgery all affect the outcome.

关 键 词：桡骨头 骨折 手术治疗 疗效 

分 类 号：R687.3[医药卫生—骨科学]