手术治疗肘关节“恐怖三联征”的疗效  

Outcomes of surgical treatment for the terrible triad of the elbow

作　　者：刘仪[1] 唐凯[1] 

机构地区：[1]南京医科大学附属无锡市人民医院骨科,江苏省214023

出　　处：《江苏医药》2013年第12期1446-1448,共3页Jiangsu Medical Journal

摘　　要：目的总结治疗肘关节"恐怖三联征"患者24例的手术方法及疗效。方法 24例桡骨头骨折均为改良MasonⅣ型;尺骨冠状突骨折按Regan-Morrey分型:Ⅰ型6例,Ⅱ型14例,Ⅲ型4例。采用手术切开复位内固定同时修复副韧带,术后在肘关节屈曲90度和前臂旋转中立位长臂石膏固定4-6周。随访8-37个月。结果 24例患者伤口均Ⅰ期愈合,骨折复位良好,临床愈合时间为9-15周。末次随访时肘关节屈伸102-138度,前臂旋转活动度84-106度,未发现肘关节僵硬、复发性脱位、神经损伤。Mayo肘关节功能评分:优7例,良13例,一般4例。结论手术治疗肘关节"恐怖三联征"可恢复和重建肘关节骨和软组织结构的稳定性和功能。Objective To summarize the outcomes of surgical treatment for 24 patients with “terrible triad of elbow”. Methods The radial head fracture was type IV of modified Mason classification in 24 cases. The Regan-Morrey classifications of coronoid fracture were type I in 6 cases,type I] in 14 cases and type Ⅲ in 4 cases. After operation, the limb was immobilizated with plaster,keeping the elbow flex in 90 degrees and the forearm roated in neutral for 4 to 6 weeks. The patients were followed up for 8 to 37 months. Results The operative incisions of 24 cases were healed by first intention and the fractured pieces were reestablished. The bone healing time was 9 to 15 weeks. The flexion-extension range of the elbows was 102-138 degrees and the pronation-supination range of the forearms was 84-106 degrees. No complications such as stiffness of the elbow recurred dislocation and injury of nerve occurred. The Mayo elbow performance score concluded as excellent in 7 cases,good in 13 cases and fair in 4 cases. Conclusion Surgical treatment of “terrible triad of elbow” can restore and reconstruct the stable structure and function of the elbow.

关 键 词：肘关节“恐怖三联征” 

分 类 号：R683[医药卫生—骨科学]