解剖锁定接骨板(LCP)治疗11例粉碎尺骨鹰嘴骨折  

Report of 11 cases of the comminuted olecranon fracture treatment with anatomically preshaped locking compression plate(LCP)

作　　者：杨明[1] 张殿英[1] 付中国[1] 陈建海[1] 王天兵[1] 熊建[1] 姜保国[1] 

机构地区：[1]北京大学人民医院创伤骨科,北京大学交通医学中心,北京100044

出　　处：《北京大学学报（医学版）》2011年第5期671-674,共4页Journal of Peking University:Health Sciences

基　　金：“十一五”国家科技支撑计划重点项目(2007BAI04B06);北京大学人民医院研究与发展基金项目(RDC2010-01)资助~~

摘　　要：目的:探讨解剖锁定接骨板(locking compression plate,LCP)治疗粉碎的尺骨鹰嘴骨折的临床疗效。方法:2009年8月至2011年5月收治粉碎尺骨鹰嘴骨折11例,平均年龄52岁,按照Mayo分型:ⅡB型9例,ⅢB型2例。全部采用切开复位、解剖锁定接骨板内固定手术治疗,术后进行定期随访,复查X线片观察骨折愈合情况,并以Broberg&Morrey评分评定患肘功能。结果:经过2～20个月(平均8.4个月)的随访,所有患者骨折均获得愈合,愈合时间为7～18周(平均愈合时间11周)。Broberg&Morrey评分结果:优4例,良6例,可1例,优良率90.9%。1例患者出现异位骨化,1例患者出现活动度明显受限。结论:解剖锁定接骨板LCP治疗粉碎的尺骨鹰嘴骨折,可达到牢固固定及早期活动,并最终获得满意疗效。Objective：To discuss the treatment effect of comminuted olecranon fractures with anatomically preshaped locking compression plate.Methods：From August 2009 to May 2011,11 cases of comminuted olecranon fractures were treated,and their average age was 52 years.According to Mayo classification,9 cases were of type ⅡB and 2 of type ⅢB.All cases accepted open reduction and internal fixation with anatomically preshaped locking compression plate.After operation,all the patients were followed up regularly.X-rays were performed to evaluate fracture healing,and function of affected elbow were evaluated according to Broberg Morrey elbow performance score.Results：With follow-up time for 2 to 20 months（average 8.4 months）,all patients attained fracture healing,and the fracture healing time was 7 to 18 weeks（average 11 weeks）.According to Broberg Morrey elbow performance score,4 cases were excellent,6 good,and 1 fair.The total excellent and good rate was 90.9%.Heterotopic ossification occurred in 1 case,and obvious limited ROM occurred in 1 case.Conclusion：Using anatomically preshaped locking compression plate to treat comminuted olecroanon fractures can attain stable fixation,perform early motion,and get satisfied results.

关 键 词：尺骨骨折 骨折固定术 内 骨板 

分 类 号：R683.41[医药卫生—骨科学]