Liñán-Padilla A, Cáceres-Sánchez L
Servicio de Cirugía Ortopédica y Traumatología, Hospital San Juan de Dios del Aljarafe, Bormujos, Sevilla, España.
Servicio de Cirugía Ortopédica y Traumatología, Hospital San Juan de Dios del Aljarafe, Bormujos, Sevilla, España.
Rev Esp Cir Ortop Traumatol. 2017 Sep-Oct;61(5):339-342. doi: 10.1016/j.recot.2017.04.005. Epub 2017 Jul 19.
The objective of this study was to compare the clinical outcomes of surgical treatment using tension band with needles and preformed plates in type ii olecranon fractures according to the Mayo classification in patients older than 65 years.
A descriptive, retrospective study of 49 patients with a mean age of 75.1 years who underwent surgery olecranon fracture using 2 different fixing systems. The Mayo classification was used to define them, excluding type i and iii, and the VAS to assess postoperative pain. Patients were assessed functionally by the questionnaire Quick DASH. All measurement was performed with goniometer and joint balance serial radiographs at one month, 3, 6 and 12 months. Minimum follow-up was one year.
In 26 patients the tension band was used and the preformed plates in 23. There were no statistically significant differences in functional outcomes, joint balance or postoperative VAS between the 2 groups. There were a greater proportion of patients who had to be operated because of problems related to osteosynthesis material in those in which preformed plates were used.
Treatment of olecranon fractures with tension band with needles and cerclage remains the surgery of choice in patients older than 65 years.
本研究的目的是根据梅奥分类法，比较65岁以上患者Ⅱ型鹰嘴骨折采用针式张力带和预成型钢板手术治疗的临床结果。
对49例平均年龄75.1岁、采用两种不同固定系统进行鹰嘴骨折手术的患者进行描述性回顾性研究。采用梅奥分类法对其进行定义，排除Ⅰ型和Ⅲ型，采用视觉模拟评分法（VAS）评估术后疼痛。通过Quick DASH问卷对患者进行功能评估。所有测量均在术后1个月、3个月、6个月和12个月使用角度计和关节平衡系列X线片进行。最短随访时间为1年。
26例患者使用张力带，23例使用预成型钢板。两组在功能结果、关节平衡或术后VAS方面无统计学显著差异。使用预成型钢板的患者中，因骨合成材料相关问题而需要再次手术的患者比例更高。
对于65岁以上的患者，针式张力带和环扎术治疗鹰嘴骨折仍是首选手术方式。
