人工桡骨头置换术治疗桡骨头粉碎性骨折的疗效分析  

Curative Effect of Artificial Femoral Head Arthroplasty for the Treatment of Comminuted Fracture of Radial Head

作　　者：钟祖欣 刘传芳 

机构地区：[1]梅州市中医医院二骨科,广东梅州514000

出　　处：《临床医学工程》2017年第4期523-524,共2页Clinical Medicine & Engineering

摘　　要：目的探讨人工桡骨头置换术治疗桡骨头粉碎性骨折的效果。方法选取64例桡骨头粉碎性骨折患者作为研究对象,按照手术方式的不同,分为两组各32例。观察组采用人工桡骨头置换术,对照组采用桡骨头切除术,比较两组的远近期疗效。结果治疗前,两组的VSA评分、肘关节屈曲度评分、肘关节旋前评分、肘关节旋后评分、Money评分均无统计学差异(P>0.05);治疗后1个月,两组的以上指标均有显著改善(P<0.05),且观察组各指标均显著优于对照组(P<0.05)。随访1年,观察组的优良率为81.25%,显著高于对照组的43.75%,差异有统计学意义(P<0.05)。结论人工桡骨头置换术治疗桡骨头粉碎性骨折的疗效显著,对恢复肘关节的稳定性、改善肘关节功能具有重要的临床意义。Objective To explore the effect of artificial femoral head arthroplasty for the treatment of comminuted fracture of radial head. Methods 64 cases of patients with comminuted fracture of radial head were selected as research objects. According to the surgical methods,all cases were divided into the observation group（artificial femoral head arthroplasty） and the control group（radial head excision）equally. The short-term efficacy and long-term efficacy were compared between two groups. Results Before treatment,no statistical difference was found between two groups in the VAS score,elbow flexion score,elbow pronation score,elbow supination score and Money score（all P〉0.05）; After treatment,both groups had significant improvement in all the indicators above（intra-group comparison,P〈0.05）,and the observation group was superior to the control group in all the indicators above（intergroup comparison,P〈0.05）. At the end of1-year＇s follow-up,the excellent and good rate of observation group was 81.25%,significantly higher than 43.75% of control group（P〈0.05）.Conclusions Artificial femoral head arthroplasty for the treatment of comminuted fracture of radial head has significant curative effect,and has important significance in restoring elbow stability and improving elbow function.

关 键 词：桡骨头粉碎性骨折 人工桡骨头置换术 桡骨头切除术 疗效 

分 类 号：R683.41[医药卫生—骨科学]