闭合复位钛制弹性髓内钉内固定治疗MasonⅡ型桡骨头骨折疗效分析  

Clinical Efficacy of Closed Reduction with Titanium Elastic Intramedullary Nailing Fixation in the Treatment of Mason TypeⅡRadial Head Fracture

作　　者：王权[1] 王洪江[1] WANG Quan;WANG Hongjiang(Department I of Orthopedics,The Seventh People’s Hospital of Zhengzhou,Zhengzhou,Henan 450016,China)

机构地区：[1]郑州市第七人民医院骨一科,河南郑州450016

出　　处：《中国烧伤创疡杂志》2024年第3期218-221,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的探讨闭合复位钛制弹性髓内钉内固定治疗MasonⅡ型桡骨头骨折的临床效果。方法选取2019年6月至2021年6月郑州市第七人民医院收治的80例MasonⅡ型桡骨头骨折患者作为研究对象,按照随机数表法将其随机分为观察组(40例)和对照组(40例),观察组患者采用闭合复位钛制弹性髓内钉内固定治疗,对照组患者采用手法复位联合石膏外固定治疗,对比观察两组患者临床疗效、肘关节活动度及并发症发生情况。结果术后6个月,观察组患者肘关节功能恢复为优者30例、良者8例、可者2例,明显优于对照组患者的肘关节功能恢复为优者14例、良者17例、可者7例、差者2例(Z=-3664,P<0001);术后6个月,观察组患者肘关节屈曲、伸展及前臂旋前、旋后活动度均明显大于对照组(t=3643、2868、3366、3588,P=0001、0005、0001、0001);术后随访1年,观察组患者均未出现并发症,其并发症发生率明显低于对照组患者的并发症发生率100%(χ^(2)=4211,P=0040)。结论与手法复位联合石膏外固定相比,闭合复位钛制弹性髓内钉内固定能够明显提高MasonⅡ型桡骨头骨折患者的肘关节功能恢复效果,改善肘关节活动度,减少术后并发症的发生,值得临床推广应用。Objective To study the clinical efficacy of closed reduction with titanium elastic intramedullary nailing fixation in the treatment of Mason TypeⅡradial head fracture.Methods 80 patients with Mason TypeⅡradial head fracture,admitted into The Seventh People’s Hospital of Zhengzhou from June 2019 to June 2021 were enrolled as research subjects and divided,using the random number table,into the study group(n=40)and the control group(n=40).Patients in the study group were treated with closed reduction with titanium elastic intramedullary nailing fixation,whereas patients in the control group were treated with manual reduction combined with plaster external fixation.The clinical efficacy,elbow joint range of motion and occurrence of complications were compared between the two groups.Results Six months after surgery,in the study group there were 30 cases with excellent recovery of elbow joint function,8 cases good,and 2 cases fair,which was obviously better than the control group(Z=-3664,P<0001)-14 cases excellent,17 cases good,7 cases fair,and 2 cases poor.Six months after surgery,the elbow joint flexion and extension range,forearm pronation and supination range of patients were all significantly larger in the study group compared with the control group(t=3643,2868,3366 and 3588,P=0001,0005,0001 and 0001).During the follow-up one-year after surgery,no complications were observed in the study group,being much better than the control group with the incidence of complications of 100%(χ^(2)=4211,P=0040).Conclusion Compared with manual reduction combined with plaster external fixation,the closed reduction with titanium elastic intramedullary nailing fixation,in the treatment of patients with Mason typeⅡradial head fracture,can significantly improve the function recovery and the range of motion of elbow joint,and reduce the incidence of postoperative complications,deserving to be promoted in clinical practice.

关 键 词：钛制弹性髓内钉 髓内钉内固定 桡骨头骨折 手法复位 石膏外固定 

分 类 号：R687.3[医药卫生—骨科学]