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机构地区:[1]华中科技大学附属协和医院骨科,武汉430022 [2]湖北省洪湖市人民医院
出 处:《中国中医骨伤科杂志》2011年第1期20-21,24,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics
摘 要:目的:分析探讨可吸收棒内固定技术治疗MasonⅡ型桡骨小头骨折的临床疗效。方法:11例桡骨小头骨折患者,其中男7例,女4例;年龄10~16岁,平均11岁。所有病例骨折分型为MasonⅡ骨折,骨折块分离移位。术前X线及CT显示骨折情况,均采用切开复位可吸收棒内固定技术进行治疗。术后常规拍摄X线片了解骨折复位情况,患肢屈肘90°、前臂中立位长臂石膏托固定4周,去石膏后积极进行功能锻炼。通过拍摄X线片及Broberg and Morrey肘关节评分标准进行评价。结果:所有病例均获得随访,随访时间6~22个月,平均15个月,复查X线证实骨折愈合,平均愈合时间3个月。所有病例均未出现骨折移位、关节疼痛、关节不稳及畸形愈合等并发症。患肢功能恢复良好,无关节活动障碍影响生活者。结论:应用可吸收棒内固定技术治疗MasonⅡ型桡骨小头骨折是一种疗效可靠、简单经济的临床治疗方法。Objective:To investigate curative effect of MasonⅡ type radial head fracture treated with absorbable internal fixation rod. Methods: A total of Ⅱ cases of radial head fracture treated with absorbable rod were followed up. The fracture classification was Mason Ⅱ radial head fractures. Preoperative film X-ray and CT showed fractures. Mason classification and Broberg and Morrey criteria were used to evaluate the clinical effect. Results: All cases were followed up for a mean time of 15 months. Evaluation was clone according to Broberg and Morry score systems. Complications were not apparent in all cases. Conclusion: Treatment of radial head fractures through internal fixation with absorbable rod is a safe and economic process.
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