鹰嘴骨粉碎性骨折塑形钢板固定的中期疗效。
Mid-term outcomes of contoured plating for comminuted fractures of the olecranon.
机构信息
Department of Orthopaedics, Affiliated Hospital of Nantong University, Nantong, China.
出版信息
Orthop Surg. 2011 Aug;3(3):176-80. doi: 10.1111/j.1757-7861.2011.00139.x.
OBJECTIVE
To evaluate the mid-term outcomes of contoured plating for comminuted fractures of the olecranon.
METHODS
Twenty eight patients were available for analysis. Their mean age was 41 years (range, 25 to 61 years). Associated fractures were of the coronoid process in three, radial head in four, and both in three patients. A plate and screw system was used to stabilize comminuted fractures of the olecranon in all cases. Coronoid fractures were stabilized according to the fracture patterns. Displaced radial head fractures were treated with either mini-screw fixation or radial head replacement. Because of the severity of their fractures, 12 patients underwent primary bone grafting.
RESULTS
Primary stability was achieved in 25 of 28 cases. There were no cases of non-union. The mean time to union was 15 weeks (range, 12-22 weeks). The mean range of flexion of the elbow was from 14° to 125°, with 65° of pronation and 74° of supination. The end results were 6 excellent, 16 good, 4 fair and 2 poor, based on the Broberg and Morrey scale. The excellent plus good rate was 78.6%.
CONCLUSION
Favorable mid-term outcomes can be achieved by contoured plating of complex, comminuted fractures of the olecranon.
目的
评估塑形钢板治疗尺骨鹰嘴粉碎性骨折的中期疗效。
方法
28 例患者可进行分析。他们的平均年龄为 41 岁（范围 25 岁至 61 岁）。3 例患者伴有冠状突骨折，4 例患者伴有桡骨头骨折，3 例患者同时伴有冠状突和桡骨头骨折。所有患者均采用钢板螺钉系统固定尺骨鹰嘴粉碎性骨折。根据骨折类型稳定冠状突骨折。对于移位的桡骨头骨折，采用微型螺钉固定或桡骨头置换治疗。由于骨折严重，12 例患者行一期植骨。
结果
28 例患者中，25 例获得了初步稳定性。无骨不连病例。愈合时间平均为 15 周（范围 12-22 周）。平均肘关节屈曲范围为 14°至 125°，旋前 65°，旋后 74°。根据 Broberg 和 Morrey 评分，结果为 6 例优，16 例良，4 例可，2 例差。优良率为 78.6%。
结论
塑形钢板治疗尺骨鹰嘴复杂粉碎性骨折可获得良好的中期疗效。
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