[粉碎性桡骨头骨折。使用Judet桡骨头假体的初步经验]
[Comminuted radial head fractures. Initial experiences with a Judet radial head prosthesis].
作者信息
Holmenschlager F, Halm J P, Piatek S, Schubert S, Winckler S
机构信息
Klinik für Unfallchirurgie, Otto-von-Guericke-Universität Magdeburg, Leipziger Str. 44, 39120 Magdeburg.
出版信息
Unfallchirurg. 2002 Apr;105(4):344-52. doi: 10.1007/s00113-001-0350-y.
PURPOSE OF THE STUDY
Comminuted fractures of the radial head represent a particular therapeutic problem. Due to characteristic complications the resection as well as the implantation of the Swanson-prothesis could not convince.
MATERIAL AND METHODS
We applied the radial head prothesis of Judet in 16 cases (14 type IV and 4 type III by Mason).
RESULTS
At the moment we survey the follow up of 15 patients after 12 to 45 months (average 18.2), the evaluation was performed using the score of Radin and Riseborough and the score of Morrey. With the score of Radin and Riseborough we found in 7 cases good, in 6 case fair and in 2 case poor results. With the score of Morrey we found 2 excellent, 11 good and 1 fair and poor results. The radiological examination did not show an increase of the carrying angle of the elbow, an osteoporosis, a proximal migration of the radius and a distal radio-ulnar dissociation.
CONCLUSION
Compared with resection or Swanson-prothesis the bipolar prothesis of Judet has definite advantages.
研究目的
桡骨头粉碎性骨折是一个特殊的治疗难题。由于存在一些典型并发症，桡骨头切除术以及Swanson假体植入术都不尽人意。
材料与方法
我们对16例患者应用了Judet桡骨头假体（Mason分型中14例为IV型，4例为III型）。
结果
目前我们对15例患者进行了12至45个月（平均18.2个月）的随访，采用Radin和Riseborough评分以及Morrey评分进行评估。根据Radin和Riseborough评分，7例结果为优，6例为良，2例为差。根据Morrey评分，2例为优秀，11例为良好，1例为差。影像学检查未显示肘关节提携角增大、骨质疏松、桡骨近端移位以及下尺桡关节分离。
结论
与桡骨头切除术或Swanson假体相比，Judet双极假体具有明显优势。
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