| 克氏针与微型钢板治疗MasonⅡ型及Ⅲ型桡骨头骨折的病例对照研究 |
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Received:November 21, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 赵勇 |
ZHAO Yong |
嵊州市人民医院,浙江 嵊州 312400 |
Department of Orthopaedics,Shenzhou People's Hospital,Shenzhou 312400,Zhejiang,China |
zhaoyong7711@163.com |
| 竺湘江 |
ZHU Xiang-jiang |
嵊州市人民医院,浙江 嵊州 312400 |
Department of Orthopaedics,Shenzhou People's Hospital,Shenzhou 312400,Zhejiang,China |
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| 宋南炎 |
SONG Nan-yan |
嵊州市人民医院,浙江 嵊州 312400 |
Department of Orthopaedics,Shenzhou People's Hospital,Shenzhou 312400,Zhejiang,China |
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| 潘科良 |
PAN Ke-liang |
嵊州市人民医院,浙江 嵊州 312400 |
Department of Orthopaedics,Shenzhou People's Hospital,Shenzhou 312400,Zhejiang,China |
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| 期刊信息：《中国骨伤》2012年25卷，第4期，第310-312页 |
| DOI：10.3969/j.issn.1003-0034.2012.04.013 |
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目的：比较克氏针与微型钢板治疗MasonⅡ、Ⅲ型桡骨头骨折疗效。
方法：2004年5月至2010年3月收治MasonⅡ、Ⅲ型桡骨头骨折共50例,其中使用克氏针治疗23例,微型钢板治疗27例。克氏针治疗组中男13例,女10例；平均年龄(42.5±0.7)岁；MasonⅡ型骨折14例,Ⅲ型骨折9例。微型钢板组中男17例,女10例；平均年龄(41.7±0.5)岁；MasonⅡ型骨折16例,Ⅲ型骨折11例。按照Broberg和Morrey的肘关节功能评分标准进行评分,比较两组患者异位骨化情况及临床疗效。
结果：所有患者获随访,时间12～24个月,平均(16.5±1.3)个月,根据疗效评定标准,微型钢板组平均(90.5±11.6)分,克氏针组平均(70.6±11.3)分。微型钢板组优15例,良9例,一般2例,差1例；克氏针组优8例,良9例,一般3例,差3例。微型钢板组疗效优于克氏针组。而两组患者异位骨化发生率比较差异无统计学意义。
结论：微型钢板治疗桡骨头骨折安全有效,疗效优于克氏针。 |
| [关键词]:桡骨骨折 骨折固定术,内 外科手术 病例对照研究 |
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| Comparison between open reduction internal fixation with Kirschner nails and mini-plates in treatment of Mason type Ⅱ and Ⅲ fractures of radial head:a case-control study |
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Abstract:
Objective:To compare the effect between open reduction internal fixation with Kirschner nails and mini-plates in the treatment of Mason type Ⅱ and III fractures of radial head.
Methods:From May 2004 to March 2010,50 cases of Mason type Ⅱ and III fractures of radial head were treated with Kirschner nails or mini-plates. In Kirschner nail group,there were 13 males and 10 females(mean age 42.5±0.7 years),and 14 cases of Mason type Ⅱ and 9 cases of Mason type Ⅲ fracture. In mini-plate group,there were 17 males and 10 females(mean age 41.7±0.5 years),and 16 cases of Mason type Ⅱ and 11 cases of Mason type of Ⅲ fracture. The excellent and good rates according to the Broberg and Morrey Elbow Score,and the rate of ectopic ossification were compared.
Results:All the patients were followed up for 12-24 (mean 16.5±1.3) months. The Broberg and Morrey Elbow Score of mini-plate group was (90.5±11.6),and that of Kirschner nail group was (70.6±11.3). The result of mini-plate group was excellent in 15 cases,good in 9 cases,fair in 2 cases,and poor in 1 case;The result of Kirschner nail group was excellent in 8 cases,good in 9 cases,fair in 3 cases and poor in 3 cases. The effect of mini-plate group was better than that of Kirschner nail group. There was no statistic difference in the rate of ectopic ossification between the two groups (P>0.05).
Conclusion:Fractures of radial head can be well treated with open reduction and internal fixation by mini-plates,which offer better results than Kirschner nails. |
| KEYWORDS:Radius fracture Fracture fixation,internal Surgical procedures,operative Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵勇,竺湘江,宋南炎,潘科良.克氏针与微型钢板治疗MasonⅡ型及Ⅲ型桡骨头骨折的病例对照研究[J].中国骨伤,2012,25(4):310~312 |
| 英文格式: | ZHAO Yong,ZHU Xiang-jiang,SONG Nan-yan,PAN Ke-liang.Comparison between open reduction internal fixation with Kirschner nails and mini-plates in treatment of Mason type Ⅱ and Ⅲ fractures of radial head:a case-control study[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(4):310~312 |
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