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作 者:翁益平[1] 郁忠杰[1] 戚有成[1] 陶涛[1]
机构地区:[1]南京医科大学附属常州市第二人民医院骨科,江苏常州213000
出 处:《临床骨科杂志》2013年第3期290-292,共3页Journal of Clinical Orthopaedics
摘 要:目的探讨肘关节恐怖三联征的手术治疗效果。方法采用肘关节内外侧联合切口,钢丝套扎固定冠状突骨折;掌骨或指骨螺钉及指骨T型钛板固定桡骨头骨折;利用锚钉或直接缝合修复内、外侧副韧带。术后使用外固定支架患者行早期康复训练。结果 7例患者均获随访,时间4个月~3年,骨折均临床愈合,愈合时间8~20周。末次随访时肘关节屈伸范围为95°~145°,旋转度80°~150°。按Mayo肘关节功能评分:优3例,良3例,可1例。结论骨性结构和软组织结构的可靠修复及早期的功能锻炼是治疗肘关节恐怖三联征的有效手段。Objective To investigate the surgical effect of the elbow terrible triad. Methods Both the medial elbow incision and the lateral one were applied in every patient. The ulnar coronoid fracture was fixed with steel wire. The radial head fracture was fixed with the screws or titanic mini-plate. The medial and lateral collateral ligaments were repaired with cannulated screws and sutured lines. The patients with external fixator were trained early habilitation training postoperatively. Results All patients were followed up from 4 months to 3 years. All patients got the clinic healing postoperative in 8 to 20 weeks. At the last follow-up, the range of elbow flexion-extension were 95°to 145°, and the range of forearm pronation-supination were 80 ° to 150 °. According to the criteria of the Mayo scoring sys- tem, the last follow-up showed that the results were excellent in 3 cases, good in 3 and fair in 1. Conclusions Reli- able adherence to the osseous structure and soft tissue structure and the early functional exercises enhance the func- tional outcome of these patients with the terrible triad of elbow injury.
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