| 应用Cable-Pin内固定系统治疗尺骨鹰嘴骨折的病例对照研究 |
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Received:January 07, 2012
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| 期刊信息：《中国骨伤》2012年25卷，第5期，第393-396页 |
| DOI：10.3969/j.issn.1003-0034.2012.05.010 |
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目的：通过与克氏针张力带(tension band wiring,TBW)比较明确应用Cable-Pin系统治疗尺骨鹰嘴骨折的临床效果。
方法：自2008年3月至2010年6月,65例尺骨鹰嘴骨折患者分为2组：Cable-Pin组32例,男18例,女14例,年龄21～69岁,平均(53.69±13.42)岁,采用Cable-Pin系统内固定治疗;TBW组33例,男20例,女13例,年龄20～70岁,平均(53.18±13.36)岁,采用克氏针张力带治疗。记录2组手术时间、切口长度、术后血红蛋白含量、骨折愈合时间、手术并发症及肘关节功能HSS评分等,并进行统计学分析。
结果：术后随访12～24个月,平均18.4个月。2组在骨折愈合时间(t=2.588,P=0.012),术后肘关节功能评分(Z=-2.039,P=0.041)和术后并发症发生方面差异有统计学意义,Cable-Pin组优于TBW组。2组在手术切口长度、手术时间和术后血红蛋白含量方面差异无统计学意义。
结论：Cable-Pin系统内固定治疗尺骨鹰嘴骨折简便易行、疗效可靠、并发症少,优于克氏针张力带钢丝。 |
| [关键词]:尺骨骨折 骨折固定术,内 肘关节 病例对照研究 |
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| Case-control study on Cable-Pin system in the treatment of olecranon fractures |
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Abstract:
Objective:To prospectively evaluate the clinical result of Cable-Pin system in the treatment of olecranon fractures and compare with tension band wiring(TBW) method.
Methods:From March 2008 to June 2010,65 patients with olecranon fractures were divided into two groups:32 patients in Cable-Pin group were treated with Cable-Pin system,including 18 males and 14 females,ranging in age from 21 to 69 years,with an average of (53.69±13.42) years; 33 patients in TBW group were treated with Kirschner tension bend,including 20 males and 13 females,ranging in age from 20 to 70 years,with an average of(53.18±13.36) years. The incision length,operation time,the amounts of hemoglobin after operation,fracture healing time,complications and HSS elbow scores were recorded and analyzed statistically. The follow-up period ranged from 12 to 24 months,with an average period of 18.4 months.
Results:There were statistical differences (P<0.05)in fracture healing time(t=2.588,P=0.012),complication rate(χ2=4.534,P=0.033) and HSS elbow joint scores(Z=-2.039,P=0.041)between two groups,which all were superior to TBW in Cable-Pin group. There was no statistical differences(P>0.05) in the length of incision(t=0.416,P=0.679),operation time(t=0.816,P=0.417)and the postoperative amounts of hemoglobin (t=-0.553,P=0.294) between two groups.
Conclusion:Cable-Pin system is an easy and reliable method for the treatment of olecranon fractures with less complications and better functions than TBW. |
| KEYWORDS:Ulna fractures Fracture fixation,internal Elbow joint 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: | 马胡晶,单磊,周君琳,刘清和,陆铁,孙松.应用Cable-Pin内固定系统治疗尺骨鹰嘴骨折的病例对照研究[J].中国骨伤,2012,25(5):393~396 |
| 英文格式: | MA Hu-jing,SHAN Lei,ZHOU Jun-lin,LIU Qing-he,LU Tie,SUN Song.Case-control study on Cable-Pin system in the treatment of olecranon fractures[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(5):393~396 |
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