Kang L-Q, Ding Z-Q, Sha M, Hong J-Y, Chen W
Department of Orthopedics, The 175th Hospital of PLA, Xiamen University Affiliated Hospital Zhangzhou, Fu jian, China.
J Hand Surg Eur Vol. 2010 Mar;35(3):224-7. doi: 10.1177/1753193409352285. Epub 2009 Dec 9.
We investigated a minimally invasive anterior approach to reduce and fix coronoid fractures with a screw in eight consecutive patients and evaluated seven patients at a minimum of 1 year (mean, 78 weeks; range, 61-89 weeks). It was only possible to repair seven of eight coronoid fractures. The average time to radiographic healing was 12 weeks and all healed without the screw loosening, migration or breakage. Endoscopy permitted an excellent view of coronoid fractures, allowing anatomic fixation, and as it avoided extensive soft tissue dissection, this method preserved soft tissue attachments of small coronoid fragments. This method was safe and minimally invasive.
我们采用微创前路入路，用螺钉对8例连续患者的冠状突骨折进行复位和固定，并对7例患者进行了至少1年的评估（平均78周；范围61 - 89周）。8例冠状突骨折中仅7例得以修复。影像学愈合的平均时间为12周，所有骨折均愈合，且螺钉未出现松动、移位或断裂。内镜能够很好地观察冠状突骨折情况，便于进行解剖复位固定，并且由于避免了广泛的软组织剥离，该方法保留了冠状突小骨折块的软组织附着。此方法安全且微创。
