Cable-pin系统和克氏针张力带治疗尺骨鹰嘴骨折临床分析
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摘要
目的探讨尺骨鹰嘴骨折治疗中Cable-pin系统和克氏针张力带(tension band wiring,TBW)两种内固定方法的临床效果。方法尺骨鹰嘴骨折病人36例,根据所使用内固定种类的不同分为Cable-pin系统治疗的Cable-pin组(19例)和克氏针张力带治疗的TBW组(17例),对每组病人术中情况、远期效果及并发症发生率等情况进行比较。结果所有病人均获随访,随访时间12~25个月,平均(13.00±4.68)个月。Cable-pin组在骨折愈合时间、术后优良率及并发症发生率分别为(12.2±2.3)周、78.9%和10.5%,TBW组分别为(16.0±2.2)周,58.8%和,35.3%,两组比较差异有统计学意义(P<0.05);Cable-pin组在手术出血量、术中耗时分别为(66.4±11.0)ml和1.5±0.6)小时,TBW组分别为(71.6±9.8)ml和(1.6±0.5)小时,两组比较比较,差异无统计学意义(P>0.05)。结论治疗尺骨鹰嘴骨折时,Cable-pin系统利于骨折愈合,固定可靠及并发率低。
Objective To discuss the therapeutic effects for olecranon fracture patients who apply Cable-pin system and tension band wiring( TBW). Methods 36 patients with olecranon fractures were retrospectively analyzed,and the patients who received Cable-pin system and tension band wiring were divided into Cable-pin group( n = 19) and TBW group( n = 17),and analysising the intraoperative situation,incidence of complications,long-term effect of patients between the two groups. Results 36 cases were all followed up,the mean time was from12 to 25( 13. 00 ± 4. 68) months. the Cable-pin group in the aspect of the healing time of fracture was( 12. 2 ± 2. 3) w,the fine rate after operation was 78. 9%,the incidence of complications were 10. 5%,which were superior to the TBW group[( 16. 0 ± 2. 2) w,58. 8%,35. 3% ],and the difference was statistically significant( P < 0. 05); the Cable-pin group in the aspect of the intraoperative blood loss was( 66. 4 ± 11. 0) ml and the operation time was( 1. 5 ± 0. 6) h,which were compared to the TBW group [( 71. 6 ± 9. 8) ml,( 1. 6 ± 0. 5) h ],there was no statistical difference( P > 0. 05). Conclusion For the treatment of olecranon fractures,Cable-pin system is reliable fixation,the fracture healing is fast,the incidence of complications is low.
Objective To discuss the therapeutic effects for olecranon fracture patients who apply Cable-pin system and tension band wiring( TBW). Methods 36 patients with olecranon fractures were retrospectively analyzed,and the patients who received Cable-pin system and tension band wiring were divided into Cable-pin group( n = 19) and TBW group( n = 17),and analysising the intraoperative situation,incidence of complications,long-term effect of patients between the two groups. Results 36 cases were all followed up,the mean time was from12 to 25( 13. 00 ± 4. 68) months. the Cable-pin group in the aspect of the healing time of fracture was( 12. 2 ± 2. 3) w,the fine rate after operation was 78. 9%,the incidence of complications were 10. 5%,which were superior to the TBW group[( 16. 0 ± 2. 2) w,58. 8%,35. 3% ],and the difference was statistically significant( P < 0. 05); the Cable-pin group in the aspect of the intraoperative blood loss was( 66. 4 ± 11. 0) ml and the operation time was( 1. 5 ± 0. 6) h,which were compared to the TBW group [( 71. 6 ± 9. 8) ml,( 1. 6 ± 0. 5) h ],there was no statistical difference( P > 0. 05). Conclusion For the treatment of olecranon fractures,Cable-pin system is reliable fixation,the fracture healing is fast,the incidence of complications is low.
引文
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[2]岳勇,赵东风,刘欣伟,等.可吸收张力带与钢丝张力带固定治疗尺骨鹰嘴骨折疗效的分析[J].中国骨与关节损伤杂志,2015,30(9):987-989.
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[6]Suresh SS.Management of comminuted olecranon fractures with precut K-wires and tension band wiring[J].Tech Hand Up Extrem Surg,2009,13(2):82-84.
[7]周孜辉,王秋根,高伟,等.不同类型尺骨鹰嘴骨折的内固定选择[J].中国创伤骨科杂志.2010,12(6):526-529.
[8]张鹰,杨宇,李凡,等.Cable-pin系统与克氏针张力带治疗髌骨骨折的疗效比较[J].浙江医学,2016,38(14):1184-1187.
[9]夏效泳,史宗新,于远洋,等.Cable-Pin系统在髌骨骨折治疗中的临床应用[J].创伤外科杂志,2014,16(5):458-458.
[2]岳勇,赵东风,刘欣伟,等.可吸收张力带与钢丝张力带固定治疗尺骨鹰嘴骨折疗效的分析[J].中国骨与关节损伤杂志,2015,30(9):987-989.
[3]Broberg MA,Morrey BF.Results of delayed excision of the radial head after fraeture[J].J Bone Joint Surg Am,1986,68(5):669-674.
[4]陈琦翔,黄解元,钟泽林.TBW与鹰嘴钩钢板治疗尺骨鹰嘴骨折的疗效比较[J].中国创伤骨科杂志,2014,16(7):639-641.
[5]胡海洲,明江华,方洪松.改良钢丝张力带治疗髌骨、尺骨鹰嘴骨折[J].临床外科杂志,1999,7(4)240-241.
[6]Suresh SS.Management of comminuted olecranon fractures with precut K-wires and tension band wiring[J].Tech Hand Up Extrem Surg,2009,13(2):82-84.
[7]周孜辉,王秋根,高伟,等.不同类型尺骨鹰嘴骨折的内固定选择[J].中国创伤骨科杂志.2010,12(6):526-529.
[8]张鹰,杨宇,李凡,等.Cable-pin系统与克氏针张力带治疗髌骨骨折的疗效比较[J].浙江医学,2016,38(14):1184-1187.
[9]夏效泳,史宗新,于远洋,等.Cable-Pin系统在髌骨骨折治疗中的临床应用[J].创伤外科杂志,2014,16(5):458-458.