锁定钢板联合可吸收软骨钉治疗Mason Ⅲ型桡骨头骨折  

Anatomical LCP combined with absorbable cartilage tack in treatment of Mason Ⅲ radial head fractures

作　　者：任东[1] 邢丹谋[1] 冯伟[1] 陈焱[1] 赵志明[1] 王欢[1] 肖志宏[1] Ren Dong;Xing Danmou;Feng Wei;Chen Yan;Zhao Zhiming;Wang Huan;Xiao Zhihong(Department of Hand Surgery,Wuhan Puai Hospital,Wuhan 430033,China)

机构地区：[1]武汉市普爱医院手外科,430033

出　　处：《中华肩肘外科电子杂志》2017年第2期108-112,共5页Chinese Journal of Shoulder and Elbow(Electronic Edition)

摘　　要：目的评估采用解剖型锁定加压钢板联合可吸收软骨钉治疗MasonⅢ型桡骨头骨折的临床疗效。方法回顾性分析2010年1月至2015年1月武汉市普爱医院收治的MasonⅢ型桡骨头骨折患者19例,其中男7例,女12例;年龄16~58岁,平均38.1岁;左侧8例,右侧11例。其中2例合并肱骨小头软骨损伤,4例合并尺骨冠突骨折,1例合并同侧桡骨远端骨折。根据患者肘关节活动度、肌力、关节稳定性和疼痛情况,按照Broberg-Morrey肘关节评分标准评估。结果所有患者均获随访,随访时间为12~60个月,平均34个月。所有骨折均愈合,平均愈合时间12.4周。Broberg-Morrey评分为64~100分,平均88.4分;其中优6例,良11例,可2例,优良率为89.5%。结论采用解剖型锁定加压钢板联合可吸收软骨钉治疗MasonⅢ型桡骨头骨折,可在重建桡骨头的同时获得良好的关节功能和患者满意度。Background The radial head fracture is a common elbow fracture in clinic,accounting for approximately 1/3 to 1/2 of all elbow fractures.Furthermore,about 1/3 of radial head fractures were companied by other elbow injuries such as coronoid process fracture,elbow joint dislocation,etc.These complications suggest more severe and complex damages that often affect the stability of elbow joint.Surgical treatments for complex radial head fractures include open reduction and internal fixation,radial head resection,and radial head prosthesis replacement.However,the choice of the best method remains controversial.With the understanding of the important role radial head plays in maintaining the stability of elbow joint and the longitudinal load of forearm,the simple radial head resection has been seldomly used.The short-term effect of radial head replacement is satisfactory in most cases.However,later complications such as joint stiffness,prosthetic loosening,valgus elbow joint,osteoarthritis,etc.may occur as well.Thus,it is only used when the radial head cannot be preserved.With the development of reduction techniques and internal fixation materials and the application of radial head cervical anatomical locking plates and absorbable self-enhancing cartilage nails,some of the radial head that was used to be regarded as irreparable is preserved.In this study,the data of anatomical locking plate combined with absorbable cartilage screw in the treatment of Mason type III radial head fractures were analyzed to assess the clinical curative effect and to explore its indications.Methods(1)General data.From January 2010 to January 2015,19 patients(7 males and 12 females)with comminuted radial head fractures were treated with anatomic locking plate(DePuySynthes)and absorbable cartilage screw(Chengdu DUCAM company).The age ranged from 16 to 58 years with an average of 38.1 years.8 cases had the left side affected,and 11 cases had the right side affected.Causes of injury:14 cases of flat fall and 5 cases of high fall.The complications

关 键 词：桡骨头骨折 锁定钢板 可吸收植入物 

分 类 号：R687.32[医药卫生—骨科学]