可吸收棒内固定治疗肘关节内骨折的临床体会
摘要
目的探讨采用可吸收棒内固定治疗肘关节内骨折的手术方法及临床疗效。方法回顾性分析自2014-01—2016-10采用可吸收棒内固定治疗的27例肘关节内骨折,肱骨远端关节内骨折16例,桡骨头骨折11例。末次随访时疗效采用肘关节功能Broberg-Morrey评分标准评定。结果 27例均获得随访,随访时间6~24个月,平均17个月。术后2个月内,肱骨远端骨折愈合9例,桡骨头骨折愈合6例;术后3个月内,肱骨远端骨折愈合15例,桡骨头骨折愈合10例;术后4个月骨折均愈合良好。末次随访时疗效采用肘关节功能Broberg-Morrey评分标准评定:优22例,良3例,可1例,差1例,优良率93.6%。结论采用可吸收棒内固定治疗肘关节内骨折符合关节部位骨折的特点,患者可避免二次手术取出内固定的痛苦,也减少了对关节周围软组织的损伤,具有较高的临床应用价值。
引文
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[2]Watts AC,Morris A,Robinson CM.Fractures of the distal humeral articular surface[J].J Bone Joint Surg Br,2007,89(4):510-515.
[3]Broberg MA,Morrey BF.Results of delayed excision of the radial head after fracture[J].J Bone Joint Surg Am,1986,68(5):669-674.
[4]陈志伟,黄水兵,吴文特,等.关节镜下埋头空心钉内固定治疗MasonⅡ型桡骨头骨折的疗效观察[J].中国骨与关节损伤杂志,2017,32(9):936-938.
[5]Helling HJ,Prokop A,Schmid HU,et al.Biodegradable implants versus standard metal fixation for displaced radial head fractures.A prospective,randomized,multicenter study[J].J Shoulder Elbow Surg,2006,15(4):479-485.
[6]陈志远,王静,刘静明,等.可吸收内固定材料在颧骨复合体骨折中的应用[J].中华创伤杂志,2014,30(3):248-249.
[7]Struijs PA,Smit G,Steller EP.Radial head fractures:effectiveness of conservative treatment versus surgical intervention.A systematic review[J].Arch Orthop Trauma Surg,2007,127(2):125-130.