| Herbert螺钉内固定治疗桡骨小头骨折15例 |
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Received:December 25, 2010
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| 期刊信息：《中国骨伤》2011年24卷，第10期，第876-878页 |
| DOI：10.3969/j.issn.1003-0034.2011.10.022 |
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目的: 观察随访用Herbert螺钉内固定治疗MasonⅡ、Ⅲ型桡骨小头骨折的临床近期疗效。
方法: 2008年3月至2010年7月,采用切开复位Herbert螺钉内固定治疗15例MasonⅡ、Ⅲ型桡骨小头骨折,男6例,女9例;年龄18～55岁,平均32岁;左侧7例,右侧8例。受伤到入院时间3～10 h.患者入院时肘部肿胀疼痛,肘关节活动受限,肘关节可闻骨擦音,X线片示桡骨小头骨折。对患者术后肘关节功能恢复观察采用Mayo肘部评分系统。
结果: 术后患者伤口愈合Ⅰ/甲,术后未见肘关节骨化性肌炎,随访6～15个月,依据Mayo肘部评分,优8例,良5例,可2例。Mayo 评分(86.67±1.26)分,其中疼痛(53.33±9.76)分,关节活动度(27.33±4.58)分,关节稳定性(6.00±2.07)分;肘关节活动度70°～130°,平均(105±10)°,前臂旋转度100°～130°,平均(120±16)°。
结论: 用Herbert螺钉对MasonⅡ型及部分MasonⅢ型桡骨小头骨折固定,复位满意、固定可靠、方法简单,利于早期进行功能锻炼。 |
| [关键词]:桡骨小头骨折 Herbert螺钉 骨折固定术,内 |
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| Herbert screw fixation for the treatment of capitulum radius fracture:a report of 15 cases |
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Abstract:
Objective: To observe the short-term therapeutic effects of Herbert screw fixation on type MasonⅡ,Ⅲradial head fractures.
Methods: From March 2008 to July 2010,15 patients with MasonⅡ,Ⅲradial head fractures were treated by open reduction and Herbert screw fixation including 6 males and 9 females with the mean age of 32 years(from 18 to 55).Seven cases were left and 8 cases were right.The interval from injury to hospitalization ranged from 3 to 10 hours.The clinical symptoms were swelling,pain,restricted movement in elbow.Bonycrepitus were heard on the elbow joint and X-ray film showed radial head fractures.Mayo elbow scoring system was used to evaluate recovery of elbow function.
Results: All the incisions primarily healed without myositis ossificans.All the patients were followed up for 6 to 15 months.According to Mayo elbow score,the result was excellent in 8 cases,good in 5 cases and fair in 2 cases.Mayo score was(86.67±1.26) points,which including pain(53.33±9.76),joint function(27.33±4.58 ),joint stability(6.00±2.07);elbow joint mobility was 70°-130° with the average of(105±10)°,forearm rotation was 100°-130° with the average of (120±16)°。
Conclusion: Treatment of MasonⅡ,Ⅲradial head fractures with Herbert screw fixation has advantages of satisfactory reduction,reliable fixation,easy operating and early movement of joint. |
| KEYWORDS:Radial head fracture Herbert screw Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 蔡建平,戴国达.Herbert螺钉内固定治疗桡骨小头骨折15例[J].中国骨伤,2011,24(10):876~878 |
| 英文格式: | CAI Jian-ping,DAI Guo-da.Herbert screw fixation for the treatment of capitulum radius fracture:a report of 15 cases[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(10):876~878 |
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