经肘前方入路应用微型锁定钢板治疗Regan-Morrey Ⅲ型尺骨冠状突骨折  

Mini-locking plates for the treatment of Regan-Morrey type Ⅲ fracture of ulnar coronoid process through anteriorapproach of elbow joint

作　　者：连霄[1] 曾云记[1] 

机构地区：[1]杭州师范大学附属医院杭州市第二人民医院骨科,浙江杭州310015

出　　处：《中国骨伤》2017年第1期9-13,共5页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨经肘前方入路结合微型锁定钢板治疗Regan-Morrey Ⅲ型尺骨冠状突骨折的疗效。方法:回顾性分析2011年1月至2014年6月采用经肘前方入路结合微型锁定钢板治疗Regan-Morrey Ⅲ型尺骨冠状突骨折12例患者资料。男7例,女5例;年龄23~65岁,平均43岁;左侧4例,右侧8例。术前和术后随访均拍摄X线片以评估骨折的位置和骨折愈合的情况。临床评价包括手术并发症的分析,运动范围,Mayo肘关节功能评分。12例均应用微型锁定钢板治疗,术后检查肘关节均稳定。结果:12例均获随访,时间14~36个月,骨折全部愈合,愈合时间12~20周,平均15.6周,无异位骨化、创伤性骨关节炎等并发症发生。在最后一次随访中,肘关节屈曲(127.0±5.6)°(120°~135°),伸直(4.2±4.5)°(0°~10°),前臂旋转活动度旋前(86.0±6.1)°(75°~90°),旋后(87.0±6.9)°(80°~100°)。Mayo肘关节功能评分80~96分,平均88分,优2例,良10例。结论:肘关节前方入路可以清晰显露Regan-Morrey Ⅲ型尺骨冠状突骨折,应用微型锁定钢板内固定,疗效满意。Objective： To explore clinical effects of mini-locking plates for the treatment of Regan-Morrey type Ⅲ fractures of ulnar coronoid process through an anterior approach of elbow joint, nethods：A retrospective analysis on 12 patients with Regan-Morrey type m fractures of the ulnar coronoid process was performed from January 2011 to June 2014,who were treated with unini-locking plates through the anterior approach of elbow joint. There were 7 males and 5 females ,ranging in age from 23 to 65 years old, averaged 43 years old. Four patients had fractures on the left and 8 patients had fractures on the right. The X-ray films were taken to evaluate the location and healing of the fracture before and after operation. Clinical evaluation included analysis on surgical complications, range of motion and Mayo elbow function score. All the patients were treated with mini-locking plates, and the elbow joint was stable after operation. Results：All the patients were followed up, and the duration ranged from 14 to 36 months. All the fractures were healed,and the healing time ranged from 12 to 20 weeks. The average healing time was 15.6 weeks. There were no complications occurred such as heterotopic ossification,traumatic arthritis and others. At the latest follow-up, the average angle of elbow flexion was （127.0±5.6）°（ 120° to 135°） ; the average extension angle was （4.2±4.5）°（0° to 10°） ;the average pronation angle of forearm was （86.0±6.1）°（75° to 90°） ;the average supination angle of forearm was （87.0±6.9）°（80° to 100°）. Mayo elbow function score was 80 to 96 points, with an average of 88 points, of which 2 cases got an excellent result, 10 good. Conclusion：Elbow anterior approach can clearly expose the Regan-Morrey type IU coronoid fractures, and mini-locking plate fixation has a satisfactory effect.

关 键 词：尺骨骨折 肘关节 骨折固定术 

分 类 号：R683.41[医药卫生—骨科学]