摘要
目的探讨桡骨小头骨折的治疗选择及疗效评估。方法将42例桡骨小头骨折的患者,按Mason分型,分别采用石膏外固定、切开复位内固定、桡骨小头切除术等方法治疗,并评估疗效。结果 42例患者随访12～24个月,平均20个月。按照Mayo肘关节功能评分评估其疗效,保守治疗的MasonⅠ型骨折优良率为100%,切开复位内固定术治疗的MasonⅡ、Ⅲ型骨折优良率83.3%,桡骨小头切除的MasonⅢ型骨折优良率80%。结论桡骨小头骨折根据Mason分型及骨折的具体情况选择适宜的治疗方法,可获得比较满意的疗效。MasonⅠ型骨折采用石膏外固定保守治疗;MasonⅡ型和大多数MasonⅢ型骨折可以采用切开复位内固定治疗;严重粉碎的MasonⅢ型骨折选择桡骨小头切除术。
Objective To discuss treatment options and effects evaluation of radius capitulum fracture.Methods42 radius capitulum fracture patients were treated by plaster external fixation,open reduction internal fixation and radius capitulum excision respectively after Mason typing,and their effects were evaluated.Results42 patients were followed-up for 12 to 24 months,averagely 20 months.Effects were evaluated according to Mayo elbow joint function score,with 100% fine rate for Mason I fracture after conservative therapy,83.3% fine rate for Mason II III fracture after open reduction internal fixation,and 80% fine rate for Mason III fracture after radius capitulum excision.ConclusionSatisfactory curative effect can be achieved for radius capitulum fracture after condign treatment measure based on Mason typing.Mason I fracture should be given conservative therapy such as plaster external fixation,Mason II and most Mason III fracture can receive open reduction internal fixation,while severe smashing Mason III fracture should be given radius capitulum excision
出处
《四川医学》
CAS
2011年第6期884-886,共3页
Sichuan Medical Journal
关键词
桡骨小头
骨折固定术
内
切除
radius capitulum
fracture fixation
internal
excision
