Ma Hu-Jing, Shan Lei, Zhou Jun-Lin, Liu Qing-He, Lu Tie, Sun Song
Department of Orthopaedics, Chaoyang Hospital Affiliated to Capital Medical University of Beijing, Beijing 100020, China.
Zhongguo Gu Shang. 2012 May;25(5):393-6.
To prospectively evaluate the clinical result of Cable-Pin system in the treatment of olecranon fractures and compare with tension band wiring (TBW) method.
From March 2008 to June 2010,65 patients with olecranon fractures were divided into two groups: 32 patients in Cable-Pin group were treated with Cable-Pin system, including 18 males and 14 females, ranging in age from 21 to 69 years, with an average of (53.69 +/- 13.42) years; 33 patients in TBW group were treated with Kirschner tension bend, including 20 males and 13 females, ranging in age from 20 to 70 years, with an average of (53.18 +/- 13.36) years. The incision length, operation time, the amounts of hemoglobin after operation, fracture healing time, complications and HSS elbow scores were recorded and analyzed statistically. The follow-up period ranged from 12 to 24 months, with an average period of 18.4 months.
There were statistical differences (P<0.05) in fracture healing time (t= 2.588, P=0.012), complication rate (chi2=4.534, P=0.033) and HSS elbow joint scores (Z=-2.039, P=0.041) between two groups, which all were superior to TBW in Cable-Pin group. There was no statistical differences (P>0.05) in the length of incision (t= 0.416, P=0.679), operation time (t=0.816, P=0.417) and the postoperative amounts of hemoglobin (t=-0.553, P=0.294) between two groups.
Cable-Pin system is an easy and reliable method for the treatment of olecranon fractures with less complications and better functions than TBW.
前瞻性评估Cable-Pin系统治疗尺骨鹰嘴骨折的临床效果，并与张力带钢丝（TBW）固定法进行比较。
2008年3月至2010年6月，将65例尺骨鹰嘴骨折患者分为两组：Cable-Pin组32例，采用Cable-Pin系统治疗，其中男18例，女14例，年龄21～69岁，平均（53.69±13.42）岁；TBW组33例，采用克氏针张力带固定，其中男20例，女13例，年龄20～70岁，平均（53.18±13.36）岁。记录两组患者的切口长度、手术时间、术后血红蛋白量、骨折愈合时间、并发症及HSS肘关节评分，并进行统计学分析。随访时间为12～24个月，平均18.4个月。
两组患者在骨折愈合时间（t=2.588，P=0.012）、并发症发生率（χ2=4.534，P=0.033）及HSS肘关节评分（Z=-2.039，P=0.041）方面差异有统计学意义（P<0.05），Cable-Pin组均优于TBW组。两组患者在切口长度（t=0.416，P=0.679）、手术时间（t=0.816，P=0.417）及术后血红蛋白量（t=-0.553，P=0.294）方面差异无统计学意义（P>0.05）。
Cable-Pin系统是治疗尺骨鹰嘴骨折的一种简便可靠的方法，与TBW相比，并发症少，功能恢复好。
