Boussouga M, Bousselmame N, Lazrek K, Taobane H
Service de Traumatologie-Orthopédie I, Hôpital Militaire d'Instruction Mohamed V-Rabat, Maroc.
Acta Orthop Belg. 2002 Oct;68(4):343-7.
Between 1997 and 2001, 40 isolated fractures of the shaft of the ulna were treated by internal fixation and were followed until healing. The mean age was 27 years. Twenty six were treated by open reduction and plate fixation (group I), and 14 by closed intramedullary pinning (group II). Most complications were secondary to technical defects and occurred in the first group, with nonunion in 7.7% of cases; complications in the second group were minimal. The authors used Oestern and Tscherne's criteria for their evaluation; good results were noted in 86% in the first group, and in 93% in the second. Surgical management of isolated ulnar shaft fracture using intramedullary pinning or AO plate fixation (1/2 tube or 1/3 tube), appear to provide comparable results, provided the technique was correct.
1997年至2001年间，对40例尺骨干单骨折患者进行了内固定治疗，并随访至骨折愈合。平均年龄为27岁。26例采用切开复位钢板固定（第一组），14例采用闭合髓内针固定（第二组）。大多数并发症继发于技术缺陷，且发生在第一组，骨不连发生率为7.7%；第二组并发症极少。作者采用奥斯特恩和切尔内的标准进行评估；第一组86%的患者结果良好，第二组为93%。只要技术正确，采用髓内针固定或AO钢板固定（1/2管型或1/3管型）治疗尺骨干单骨折，手术效果相当。
