Yin Qudong, Gu Sanjun, Liu Jun, Wu Yongwei, Lu Yao, Ma Yunhong, Sheng Youyin
Department of Orthopaedics, Wuxi No.9 People's Hospital, Wuxi Jiangsu, 214062, P. R. China.
Department of Orthopaedics, Wuxi Rende Hospital.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2016 Sep 8;30(9):1094-1097. doi: 10.7507/1002-1892.20160223.
To investigate the effectiveness of sharp teeth hook plate by cutting for the treatment of olecranon fractures by comparison with Kirschner wire tension belt and locking plate.
Between January 2011 and April 2015, 32 cases of olecranon fractures were treated. Fracture was fixed with sharp teeth hook plate by cutting in 12 cases (trial group) and with Kirschner wire tension belt or locking plate in 20 cases (control group). There was no significant difference in gender, age, side and type of fracture, and time from injury to operation between 2 groups (>0.05). The healing time of fractures and complications were recorded. At 1 year after operation, the subjective function results were evaluated according to Disability of Arm, Shoulder, and Hand (DASH) score, and objective function results by Mayo Elbow Score (MEPS); visual analogue scale (VAS) was used for elbow joint pain, and range of motion of flexion and extension of elbow joint was measured.
All incisions healed by first intention, with no vascular and nerve injuries. All patients were followed up 12-36 months with an average of 18 months. All fractures healed, and there was no significant difference in the healing time between 2 groups (>0.05). Loosening of Kirschner wire occurred in 2 cases of control group, but no loosening of internal fixation was observed in trial group after operation. There was no significant difference in the incidence of complications between 2 groups (>0.05). The DASH, MEPS, VAS score, and range of motion of flexion in trial group were superior to those in control group, showing significant differences (<0.05) at 1 year after operation. There was no significant difference in range of motion of extension between 2 groups (>0.05).
Sharp teeth hook plate for treatment of olecranon fractures overcomes the shortcomings that Kirschner wire tension is easy to slide and locking plate has a compression effect on triceps tendon, so it has good effectiveness.
通过与克氏针张力带及锁定钢板对比，探讨切割式尖齿钩钢板治疗尺骨鹰嘴骨折的有效性。
2011年1月至2015年4月，治疗32例尺骨鹰嘴骨折患者。12例采用切割式尖齿钩钢板固定骨折（试验组），20例采用克氏针张力带或锁定钢板固定（对照组）。两组患者在性别、年龄、骨折侧别及类型、受伤至手术时间方面差异无统计学意义（>0.05）。记录骨折愈合时间及并发症情况。术后1年，根据上肢、肩部和手部功能障碍（DASH）评分评估主观功能结果，采用梅奥肘关节评分（MEPS）评估客观功能结果；采用视觉模拟评分法（VAS）评估肘关节疼痛情况，并测量肘关节屈伸活动度。
所有切口均一期愈合，无血管、神经损伤。所有患者均获随访，随访时间12～36个月，平均18个月。所有骨折均愈合，两组骨折愈合时间差异无统计学意义（>0.05）。对照组2例出现克氏针松动，试验组术后未观察到内固定松动。两组并发症发生率差异无统计学意义（>0.05）。试验组术后1年DASH、MEPS、VAS评分及屈曲活动度均优于对照组，差异有统计学意义（<0.05）。两组伸展活动度差异无统计学意义（>0.05）。
切割式尖齿钩钢板治疗尺骨鹰嘴骨折克服了克氏针张力易滑动及锁定钢板对肱三头肌腱有加压作用的缺点，疗效良好。
