手术治疗肘关节脱位合并尺骨冠状突骨折  

The operation treatment for elbow dislocation combined with ulnar coronoid process fracture

作　　者：王俊[1] 刘敏波[1] 杨群 WANG Jun;LIU Min-bo;YANG Qun(Dept of Orthopaedics,Xiaoshan District First People′s Hospital of Hangzhou,Hangzhou,Zhejiang 311201,China)

机构地区：[1]杭州市萧山区第一人民医院骨科,浙江杭州311201

出　　处：《临床骨科杂志》2021年第3期401-404,共4页Journal of Clinical Orthopaedics

摘　　要：目的探讨手术治疗肘关节脱位合并尺骨冠状突骨折的疗效。方法手术治疗18例肘关节脱位合并尺骨冠状突骨折患者。记录手术时间、疼痛VAS评分、肘关节活动度、并发症情况及Broberg-Morrey评分。结果手术时间65~180 min。16例患者获得随访,时间12~24个月;2例失访。术后1例肱桡关节脱位,3例异位骨化,1例浅表切口感染,无神经及血管损伤。VAS评分与Broberg-Morrey评分术后均较术前明显改善,差异均有统计学意义(P<0.001)。末次随访时,肘关节屈曲95°~135°、伸直0°~25°,前臂旋前50°~86°、旋后45°~80°。结论对于肘关节脱位合并尺骨冠状突骨折,依据损伤特点及尺骨冠状突骨折分类进行手术治疗,可以取得良好临床效果。Objective To explore the efficacy of elbow dislocation combined with ulnar coronoid process fracture.Methods The 18 patients who suffered from elbow dislocation combined with ulnar coronoid process fracture were treated by operation.The operation time,pain VAS,joint activity range,complications and Broberg-Morrey score were recorded.Results The operation time was 65~180 min.The 16 patients were followed up from 12 months to 24 months,2 patients were lost.There were 1 case of radial joint dislocation,3 cases of heterotopic ossification,and 1 case of superficial incision infection,without nerve and vascular injury.The VAS and Broberg-Morrey score were significantly improved than the preoperation,there were statistical differerences(P<0.001).At the last follow-up,the elbow mobility was flexion with 95°~135°,extension with 0°~25°,forearm pronation 50°~86°,and forearm supination 45°~80°.Conclusions For the elbow joint dislocation combined with ulnar coronoid process fracture,surgical treatment can achieve good clinical results,according to the damage characteristics and classification of coronoid process fracture morphology.

关 键 词：肘关节脱位 尺骨骨折 

分 类 号：R684.7[医药卫生—骨科学] R683.41[医药卫生—外科学]