| 桡骨头骨折的手术治疗 |
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Received:January 30, 2005
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| 期刊信息：《中国骨伤》2006年19卷，第3期，第158-159页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨桡骨头骨折手术治疗的疗效。
方法:1998-2004年治疗26例,男20例,女6例;平均年龄31岁(20~68岁)。按改良的Mason和Johnston分型:Ⅰ型4例,Ⅱ型6例,Ⅲ型16例,分别采用石膏固定,克氏针或螺丝钉固定,桡骨头置换,并修复相关内侧副韧带、冠状突等损伤。
结果:本组平均随访28.6个月(3个月~6年)。按Morrey和Broberg标准评分平均85分(40~100分):优8例,良10例,中6例,差2例。
结论:既要重视桡骨头的复位固定,又要重视合并周围韧带及冠状突的损伤,桡骨头骨折的治疗才可能取得较好的结果。 |
| [关键词]:桡骨骨折 骨科手术方法 骨折固定术 |
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| Surgical treatment of radial head fractures |
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Abstract:
Objective:To study therapeutic effects of surgical methods for the treatment of radial head fractures.
Methods:Among 26 patients who were treated from 1998 to 2004,20 were male and 6 were female,ranging in age from 20 to 68 years,meanly 31 years.According to Mason and Johnston’s classification:4 patients were Type Ⅰ,6 patients were Type Ⅱ and 16 were Type Ⅲ.All the patients of Type Ⅰ were treated with plaster external fixation.Two patients of Type Ⅱ were treated with conservative method,3 were treated with open reduction and Kirschner pin fixation,and 1 was treated with screw fixation.All the patients of Type Ⅲ were treated with open reduction and internal fixation.In the operation,related medial collateral ligament and coronary process injuries were repaired.
Results:All the patients were followed up from 3 months to 6 years,with an average of 28.6 months.According to Morrey and Broberg score standard,the mean score of this group was 85(from 40 to 100).In the study,8 patients obtained excellent results,10 good,6 fair and 2 bad.
Conclusion:Paying attention to not only the reduction and fixation of radial head,but also the treatment of injuries of ligament and coronary process is the key to improve therapeutic effects of radial head fracture. |
| KEYWORDS:Radius fractures Orthopaedics operative methods Fracture fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李海清,梅国华,蔡培华,曾炳芳.桡骨头骨折的手术治疗[J].中国骨伤,2006,19(3):158~159 |
| 英文格式: | LI Hai-qing,MEI Guo-hua,CAI Pei-hua,ZENG Bing-fang.Surgical treatment of radial head fractures[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(3):158~159 |
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