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MoPyC假体植入及使用角度稳定钢板治疗粉碎性桡骨头骨折的评估

Evaluation of MoPyC-prosthesis implantation and the use of angular stable plates in the treatment of comminuted radial head fractures.

作者信息

Raven T F, Schönewald M, Doll J, Banken L, 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. 2019 Mar 21;16(4):288-293. doi: 10.1016/j.jor.2019.03.002. eCollection 2019 Jul-Aug.

Abstract

OBJECTIVE

Comminuted radial head fractures are disproportionately often accompanied by injuries of the bone or ligaments and can be treated in different ways.

METHODS

15 patients with a comminuted radial head fracture were treated with an angular stable plate (=G1) and 8 with a MoPyC-prosthesis (=G2).

RESULTS

G1 shows an average Morrey-score of 83,87 points. Complications occurred in 5/15 patients. Within G2 an average Morrey-score of 86 was achieved. Complications could be shown in 2/8 patients.

CONCLUSION

Both the treatment provides a clear individual benefit for the patients and predict promising results for the treatment of comminuted radial head fractures.

摘要

目的

粉碎性桡骨头骨折常常不成比例地伴有骨骼或韧带损伤,且可有不同的治疗方式。

方法

15例粉碎性桡骨头骨折患者采用角稳定钢板治疗(=G1组),8例采用MoPyC假体治疗(=G2组)。

结果

G1组平均梅奥评分83.87分。15例患者中有5例出现并发症。G2组平均梅奥评分为86分。8例患者中有2例出现并发症。

结论

两种治疗方法对患者均有明显的个体益处,并对粉碎性桡骨头骨折的治疗预示着良好的结果。

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本文引用的文献

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Fractures of the radial head.桡骨头骨折。
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Radial head replacement with the MoPyC pyrocarbon prosthesis.莫比碳假体桡骨头置换术。
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