MayoⅡB型尺骨鹰嘴粉碎骨折的手术治疗  

Surgical treatment for MayoⅡB comminuted fracture of the olecranon

作　　者：王敏[1] 平立原[1] 王卫[1] 杨宝根[1] 

机构地区：[1]杭州市肿瘤医院暨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》2016年第2期184-186,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的 ：探讨手术治疗MayoⅡB型尺骨鹰嘴粉碎骨折的临床疗效。方法：自2008年5月至2015年3月采用手术治疗37例尺骨鹰嘴粉碎骨折,其中男20例,女17例;年龄40~65岁,平均53岁。患者均在4~7 d行切开复位内固定术。术前患者均有患肘疼痛并伴明显功能障碍,行X线及CT三维重建显示骨折为MayoⅡB型。观察术后并发症,并采用Broberg-Morrey肘部骨折疗效评分标准进行评价。结果：37例均获随访,时间9~30个月,平均15个月。术后切口小范围浅表感染2例,经换药愈合。未发生克氏针针尾退出及刺激皮肤形成滑囊,无螺钉松脱,无钢丝断裂。术后发现关节面轻度不平整1例,但未引起明显功能障碍。按照Broberg-Morrey肘部骨折疗效评分标准评定,总分87.0±7.3,优11例,良24例,可2例。结论：对于MayoⅡB型尺骨鹰嘴粉碎骨折,术前充分准备,术中恢复关节面的平整并进行合理的内固定,术后积极康复,可获得满意的临床疗效。Objective：To study clinical effects of surgery for the treatment of Mayo ⅡB comminuted fracture in ulna olecranon. Methods：From May 2008 to March 2015,a total of 37 patients with Mayo ⅡB comminuted fracture in ulua olecranon were treated,including 20 males and 17 females,ranging in age from 40 to 65 years old,with an average of 53 years old. All the patients were treated with open reduction and internal fixation within 4 to 7 days after injuries. All the patients had pain and functional disorder of elbow joint. The X ray and CT examination showed ulna olecranon comminuted fracture of Mayo Ⅱ B.Postoperative complications were observed,and Broberg-Morrey criteria was used to evaluate therapeutic effects. Results：All the patients were followed up,and the duraiton ranged from 9 to 30 months,with a mean of 15 months. Two patients had surface infection around incision,and were healed by changing dressings. No other complications occurred such as needle slipping to stimulate skin,screw loosening and wire broken. One patient had slight uneveness of joint surface without obvious functional disorder. According to Broberg-Morrey elbow fracture curative effect criteria,11 paients got an excellent result,24 good and 2fair,and the total score was 87.0 ±7.3. Conclusion：For the Mayo Ⅱ B comminuted fracture in ulna olecranon,preoperative preparation,intraoperative restoring of the articular surface smooth and reasonable internal fixation,and postoperative rehabilitation actively,can obtain satisfactory clinical effects.

关 键 词：尺骨骨折 骨折固定术 内 肘关节 

分 类 号：R683.41[医药卫生—骨科学]