Raven T F, Schönewald M, Doll J, Banken L, Schmidmaier G, Moghaddam A
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.
J Orthop. 2019 Mar 21;16(4):288-293. doi: 10.1016/j.jor.2019.03.002. eCollection 2019 Jul-Aug.
Comminuted radial head fractures are disproportionately often accompanied by injuries of the bone or ligaments and can be treated in different ways.
15 patients with a comminuted radial head fracture were treated with an angular stable plate (=G1) and 8 with a MoPyC-prosthesis (=G2).
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.
Both the treatment provides a clear individual benefit for the patients and predict promising results for the treatment of comminuted radial head fractures.
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。
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)。
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。
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。