桡骨头粉碎性骨折治疗的研究进展  

Research progress in treatment of comminuted radial head fractures

作　　者：何凌峰 陈红卫[1] He Lingfeng;Chen Hongwei(Department of Orthopedics,Central Hospital of Yiwu,Yiwu 322000,China)

机构地区：[1]义乌市中心医院骨科,浙江省义乌市322000

出　　处：《中华创伤杂志》2018年第8期764-768,共5页Chinese Journal of Trauma

基　　金：浙江省科技厅项目（2013C33216）;浙江省卫生厅项目（2014KYB296）;义乌市高层次人才科研项目（201603）

摘　　要：桡骨头骨折的发生率约占肘关节骨折的1／3。无明显移位骨折经非手术治疗可以取得良好的疗效，而对于复杂粉碎性桡骨头骨折，骨折切开复位内固定和桡骨头置换术各有其优缺点，手术方案的选择并没有确切的依据，最佳治疗方法仍存在争议。无论骨折切开复位内固定或桡骨头置换术，均需要修复伴发损伤，同时术后正规的康复训练对于肘关节功能的恢复也至关重要。笔者就桡骨头粉碎性骨折的分型、治疗方法的选择、内固定物的选择及合并损伤的治疗等现状作一综述，以期更好地为临床治疗提供帮助。Radial head fracture accounts for one third of the elbow joint fracture. At present, for fractures without obvious displacement, non operative treatment can achieve good results. In the case of complicated comminuted fracture of the radial head, open reduction with internal fixation and the radial head replacement have their own advantages and disadvantages. There is no exact reference for the selection of surgical procedures, and the best treatment regimen remains controversial. No matter which method is adopted, it is necessary to repair accompanied injuries. Meanwhile, postoperative standard rehabilitation exercise is also essential for the recovery of elbow function. The typing of radial head comminuted fracture and the status quo of its treatment is reviewed in this paper, so as to provide reference for better clinical treatment.

关 键 词：桡骨骨折 骨折固定术 内 关节成形术 置换 

分 类 号：R687.3[医药卫生—骨科学]