角度稳定钢板治疗粉碎性桡骨头骨折的选择与局限性
Options and limits of angle stable plates in the treatment of comminuted radial head fractures.
作者信息
Raven T F, Banken L, Doll J, Westhauser F, Reible B, Schönewald M, Schmidmaier G, Moghaddam A
机构信息
ATORG - Aschaffenburg Trauma and Orthopaedic Research Group, Center for Trauma Surgery, Orthopaedics and Sports Medicine, Hospital Aschaffenburg-Alzenau, Am Hasenkopf 1, D-63739, Aschaffenburg, Germany.
HTRG - Heidelberg Trauma Research Group, Division of Trauma and Reconstructive Surgery, Center for Orthopaedics, Trauma Surgery and Spinal Cord Injury, University Hospital Heidelberg, Schlierbacher Landstraße 200a, D-69118, Heidelberg, Germany.
出版信息
J Orthop. 2018 Sep 6;15(4):957-962. doi: 10.1016/j.jor.2018.08.038. eCollection 2018 Dec.
OBJECTIVE
New angle-stable plates provide more stability and better anatomical fit than previous plates.
METHODS
22 patients treated with an angle-stable plate were included. Postoperative the outcomes were evaluated according to the scoring systems of Morrey, Radin and Riseborough.
RESULTS
3 patients received a score of excellent, 14 good, and 5 satisfactory. We detected 3 cases of implant failure and 2 cases of postoperative neurological damage. 3 patientes received a radial head necrosis.
CONCLUSIONS
Our results show that the angle-stable radial head locking plate can only be used in limited cases in the treatment of multi-fragment radial head fractures.
目的
新型角度稳定钢板比以往的钢板提供更高的稳定性和更好的解剖贴合度。
方法
纳入22例采用角度稳定钢板治疗的患者。术后根据Morrey、Radin和Riseborough评分系统对结果进行评估。
结果
3例患者评分为优，14例为良，5例为满意。我们检测到3例植入物失败和2例术后神经损伤。3例患者出现桡骨头坏死。
结论
我们的结果表明，角度稳定型桡骨头锁定钢板在治疗多片段桡骨头骨折中仅能用于有限的病例。
Zotero 插件