手术治疗桡骨头前侧塌陷骨折  

Operation for the treatment of radial head fracture with collapse of anterior articular surface

作　　者：平立原[1,2] 王卫[1,2] 王敏[1,2] 潘国标[1,2] 张方林[1,2] 杨宝根[1,2] 

机构地区：[1]杭州市肿瘤医院 [2]杭州市第一人民医院吴山院区骨科,浙江杭州310002

出　　处：《中国骨伤》2014年第8期694-696,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的：探讨手术治疗桡骨头前侧塌陷骨折的临床疗效.方法：2006年3月至2013年1月收治17例桡骨头前侧塌陷骨折的患者,根据Mason分型,Ⅱ型12例,Ⅲ型5例.采用肘关节后外侧入路进行切开复位,并用Herbert钉或钛空心钉进行内固定.结果：术后均获随访,时间6～18个月,平均11.3个月.根据Broberg和Money肘关节功能评分标准评定：优2例,良12例,可3例.术后未发生肘部感染、神经损伤、骨不连、创伤性关节炎、异位骨化以及肘关节不稳定.但术后患侧肘关节活动范围小于健侧.结论：桡骨头前侧塌陷骨折容易漏诊,可以通过肘关节后外侧入路进行切开复位内固定.Objective：To evaluate clinical outcomes of fixation for the treatment of radial head fracture with collapse of anterior articular surface.Methods：From March 2006 to January 2013,17 patients with radial head fractures with collapse of anterior articular surface were analysed.According to the Mason classification,there were 12 cases with Mason type Ⅱ fractures and 5 cases with Mason type Ⅲ fractures.All the patients were treated with open reduction through posterolateral entrance of elbow joint and Herbert or titanium cannulated screw internal fixation.Results：All the patients were followed up,and the duration ranged from 6 to 18 months,with a mean of 11.3 months.According to the Broberg and Morrey score system,2 patients got an excellent result,12 good and 3 fair.There were no complications such as infection of elbow joint,nerve injury,non-union,traumatic osteoarthritis,heterotopic ossification and elbow instability.However,the postoperative activity range of elbow in the injuried side was less than that in the normal side.Conclusion：Radial head fracture with collapse of anterior articular surface is easily misdiagnosed,and it can be treated with open reduction and internal fixation through posterolateral entrance.

关 键 词：桡骨骨折 骨折固定术 内 肘关节 

分 类 号：R683.4[医药卫生—骨科学]