成人MasonⅡ型桡骨小头骨折非手术与微型钛钉治疗的疗效分析  

Comparison the Curative Effect between Conservative Method and Surgery Method with Micro Titanium Screw for the Treatment of Radial Head Fracture of Mason Type Ⅱ

作　　者：刘平[1] 韦卓[1] 孙文晓[1] 魏优秀[1] 杨盛力[2] 

机构地区：[1]华中科技大学同济医学院附属医院梨园医院手外科,武汉430077 [2]香港中文大学外科学系

出　　处：《中国中医骨伤科杂志》2013年第6期35-36,共2页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:比较研究微型钛钉手术治疗与非手术治疗MasonⅡ型桡骨小头骨折的疗效,为临床治疗该类骨折方式的选择提供参考。方法:对33例MasonⅡ型桡骨小头骨折进行治疗回顾,其中17例手术内固定治疗,16例非手术治疗。按照Broberg和Morrey的评定标准对两组肘关节进行功能评分。结果:全部病例获得随访,其中手术组17例,非手术组16例;随访时间16～47个月,平均25个月。肘关节功能评分:手术组优9例,良7例,差1例,优良率为94.1%。非手术组优7例,良5例,差4例,优良率为75%.两组疗效比较差异有统计学意义(P<0.05)。结论:手术治疗MasonⅡ型桡骨小头骨折在关节活动、肌力和功能恢复方面较非手术治疗有明显优势。Objective：To comparison the curative effect between the conservative method and surgery method with micro titanium screw for the treatment of radial head fractures of Mason type Ⅱ, and provide data for the clinical treatment. Methods： All 33 pa- tients with radial head fractures of Mason type Ⅱwere retrospective analyzed. There were 17 cases treated by internal fixation, and 16 cases by conservative method. The function score of elbow was assessed according to the assessment criteria of Broberg and Monrrey. Results：All patients were followed-up for 16-47 months （25 months averagely）. There were 9 excellent cases, 7 good cases, and 1 poor case in the operation group, and there were 7 excellent cases, 5 good cases, and 4 poor cases in the conservative group. The overall excellent and good rate was 94.1 % and 75 % respectively in the two groups （P〈0.01）. Conclusion： There are some obvious advantages of surgery method for treating radial head fractures of Mason type Ⅱ, such as functional recovery of joint mobility and muscle strength, compared with conservative method.

关 键 词：桡骨小头 骨折 微型钛钉 手术 

分 类 号：R683.41[医药卫生—骨科学]