桡骨小头置换术与切除术治疗桡骨头骨折疗效比较  

A comparative study on the effect of radial head replacement and radial head resection

作　　者：张丛笑[1] 王豫[2] 

机构地区：[1]北京市海淀医院骨科,北京市100080 [2]北京航空航天大学生物医学工程学院

出　　处：《中国基层医药》2012年第18期2762-2763,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的比较桡骨小头置换术与桡骨小头切除术治疗桡骨头骨折的临床效果。方法26例MasonII、III型桡骨小头骨折患者，其中桡骨小头置换术14例、桡骨小头切除术12例。结果26例平均随访16．5个月，依照Broberg和Morrey的肘关节评分标准，桡骨小头置换术优良率71．4％，桡骨小头切除术优良率50．0％，两组优良率差异有统计学意义（x2=4．98，P〈0．05）。结论桡骨小头置换可以获得更好的肘关节稳定性，治疗效果优于桡骨小头切除。Objective To compare the clinical outcomes between radial head replacement and radial head resection for patients with radial head fractures. Methods 26 radial head fracture patients with type II and III ac- cording to Mason classification were treated. 14 eases were treated with radial head replacement, 12 cases were treated with radial head resection. Results All the 26 patients were followed up for 16.5 months in average, the excellent and good rate was 71.4% of the radial head replacement group, while the excellent and good rate was 50.0% of the radial head resection group in elbow joint score. The difference was statistically signifcant between the two groups （ X2 = 4.98, P 〈 0.05 ）. Conclusion Radial head replacement could achieve better stability of elbow joint than radial head resection.

关 键 词：桡骨骨折 桡骨小头置换 桡骨小头切除 

分 类 号：R687.3[医药卫生—骨科学]