摘要
目的 分析尺骨冠状突骨折合并肘关节脱位的分型和治疗方法。方法 15例尺骨冠状突骨折合并肘关节脱位按Reagan—Morrey分型，Ⅰ型4例采用石膏固定制动3周；Ⅱ型7例采用手术治疗，肘前方入路切开复位，前后方向拉力螺丝钉固定，早期功能锻炼；Ⅲ型4例采用手术或保守治疗，石膏固定6周。结果 Ⅰ型中优2例，良1例，差1例。Ⅱ型中优4例，良2例，差1例。Ⅲ型中良2例，差2例。结论 按照Reagan—Morrey分型指导治疗，效果较好。对于Ⅱ、Ⅲ型骨折中无粉碎骨块者，手术治疗预后好。Ⅰ型骨折石膏固定2～3周也可取得较好疗效。
Objective To study the typing and treatment of ulna coracoid process fracture complicated with elbow dislocation. Methods 15 cases of ulna coracoid process fractures complicated with elbow dislocation were enrolled. According to Reagan-Morrey classification, there were 4 type Ⅰ, 7 type Ⅱ , and 4 type Ⅲ. Type Ⅰ was treated with plaster immobilization for 3 weeks, type Ⅱ with open reduction and internal fixation with anterior-posterior lag screw fixation through anterior cubital approach and early function exercise, and type Ⅲ with conservative or surgical treatment with plaster immobilization for 6 weeks. Results The results were excellent in 2 cases, good in 1 and poor in 1 in type Ⅰ ; those of type Ⅱ were 4, 2, and 1 ; and those of type Ⅲ were 0, 2, 2. Conclusions Treatment of ulna coracoid process fracture complicated with elbow dislocation according to Reagan-Morrey classification can provide satisfactory resuh. For the type Ⅱ and Ⅲ cases without comminution, surgery provide good prognosis. Type Ⅰ can get good result with plaster immobilization for 2 ～ 3 weeks.
出处
《临床骨科杂志》
2006年第1期51-52,共2页
Journal of Clinical Orthopaedics
关键词
肘关节脱位
尺骨冠状突骨折
骨折固定术
elbow dislocation
ulna coracoid process fractures
fracture fixation
