解剖型锁定加压接骨板修复尺骨鹰嘴骨折:肘关节功能6个月随访评价  

Anatomical locking compression plate in the repair of olecranon fracture: 6-month follow-up evaluation of elbow function

作　　者：齐岩[1] 田军[1] 姚宇[1] 刘浩[1] 孙磊[1] 

机构地区：[1]哈尔滨医科大学附属第二临床医学院急诊创伤外科,黑龙江省哈尔滨市150086

出　　处：《中国组织工程研究》2015年第4期573-577,共5页Chinese Journal of Tissue Engineering Research

摘　　要：背景:尺骨鹰嘴骨折治疗不当会影响肘关节功能,为了减少并发症的发生,使肘关节功能得到良好恢复,给予尺骨鹰嘴骨折准确复位和牢固的内固定尤为重要。目的:探索解剖型锁定加压接骨板修复尺骨鹰嘴骨折的效果。方法:对36例尺骨鹰嘴骨折病例采用尺骨鹰嘴解剖型锁定加压接骨板行切开复位内固定治疗,评价分析术后肘关节功能恢复情况。结果与结论:36例尺骨鹰嘴骨折病例采用尺骨鹰嘴解剖型锁定加压接骨板行切开复位内固定治疗,随访6个月以上,术后切口无感染及血肿等早期并发症,均一期愈合,Broberg和Morrey评估优良率94%(34/36)。因此认为应用尺骨鹰嘴解剖型锁定加压接骨板内固定治疗尺骨鹰嘴骨折手术操作简便、内固定牢靠、术后可早期活动、并发症少、肘关节功能恢复良好。BACKGROUND： Improper treatment of olecranon fractures will affect elbow function. To reduce the incidence of complications and good recovery of elbow function, it is important to give accurate reduction and rigid internal fixation of olecranon fracture.OBJECTIVE： To investigate the anatomic locking compression plate in the repair of olecranon fracture. METHODS： Anatomical locking compression plate was used for open reduction and fixation in 36 cases of olecranon fracture. The recovery of elbow joint function of patients after operation was evaluated. RESULTS AND CONCLUSION： 36 cases of olecranon fracture received anatomical locking compression plate for open reduction and fixation, and were followed up for more than 6 months. No early complications were found in the incision such as infection or hematoma. They were primarily healed. Broberg and Morrey evaluation showed that the excellent and good rate was 94%（34/36）. It is concluded that anatomical locking compression plate for olecranon fracture is simple to be operated. The fixation is firm. The patients can do early exercise postoperatively, less complications and good recovery of elbow joint function.

关 键 词：尺骨骨折 骨板 内固定器 肘关节 植入物 骨植入物 尺骨鹰嘴 骨折 解剖型锁定加压接骨板 内固定 尺骨鹰嘴粉碎性骨折 切开复位 

分 类 号：R318[医药卫生—生物医学工程]