摘要
目的探讨单一肘关节后入路解剖型锁定钛板螺钉治疗尺骨近端粉碎性骨折的疗效。方法回顾性分析2011年1月至2013年12月采用尺骨近端锁定钛板及螺钉治疗的22例尺骨近端粉碎性骨折患者资料，男14例，女8例；年龄21～57岁，平均42．7岁；左侧9例，右侧13例，均为单侧闭合性损伤。骨折按Schatzker分型：ⅢA型12例，ⅢC型6例，ⅢA型合并ⅢC型4例。术后1年采用Broberg＆Morrey肘关节功能评分标准评估疗效。结果22例患者术后获12～24个月（平均16个月）随访，骨折愈合时间为10～16周（平均13周）。术后1年采用Broberg＆Morrey肘关节评分标准评估疗效：优12例，良7例，可3例，优良率为86．4％。术后未见皮肤、软组织感染或坏死、肘关节僵硬、明显疼痛等并发症。结论单一肘关节后入路解剖型锁定钛板螺钉是治疗尺骨近端粉碎性骨折的有效方法之一。
Objective To evaluate the efficacy of anatomical locking titanium plate via the posterior elbow approach in the treatment of comminuted fractures of proximal ulna. Methods From January 2011 to December 2013, 22 comminuted fractures of proximal ulna were treated by anatomical locking titanium plate via the posterior elbow approach. They were 14 men and 8 women, from 21 to 57 years of age （average, 42.7 years） . Nine cases were on the left side and 13 on the right. All were unilateral closed fractures. By the Schatzker classification, 12 cases were type ⅢA, 6 type ⅢC and 4 a combination of type ⅢA and type ⅢC. The Broberg ＆ Morrey criteria were used to evaluate the elbow function one year postoperation. Results The follow-ups for the 22 cases ranged from 12 to 24 months （average, 16 months）. All the cases obtained clinical healing after 10 to 16 weeks （average, 13 weeks）. According to the Broberg ＆ Morrey criteria, 12 cases were evaluated as excellent, 7 as good, and 3 as fair, yielding an excellent to good rate of 86.4%. No such complications as infection or necrosis of soft tissues, elbow stiffness, or obvious pain were observed during the follow-up period. Conclusion It is an effective treatment of comminuted fractures of proximal ulna with anatomical locking titanium plate through the posterior elbow approach.
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2016年第1期79-82,共4页
Chinese Journal of Orthopaedic Trauma
关键词
肘关节
骨折固定术
内
尺骨骨折
骨板
Elbow joint
Fracture fixation, internal
Ulna fractures
Bone plates
