Jiao Fu-de, Wang Qing, Xue Bo, Ye Peng-Han, Lu Yong, Zhang Jing-Wei
The First Department of Traumatic Othopaedics, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China.
Zhongguo Gu Shang. 2021 Jun 25;34(6):554-8. doi: 10.12200/j.issn.1003-0034.2021.06.015.
To investigate the clinical effect of double mini-locking plates in the treatment of ulna olecranon fractures.
From March 2017 to May 2020, 19 patients with olecranon fractures were treated with double mini locking plates, including 12 males and 7 females, aged from 20 to 75 years old with an average of (40.50±7.62) years old;10 patients had the injuries on the left side and 9 patients on the right side. All the 19 patients were fresh closed fractures without ulnar coronoid process fracture, elbow dislocation and other injuries. The fracture healing time and complications were recorded, and the clinical efficacy was evaluated by Mayo elbow performance score (MEPS) before operation and 12 months after operation.
All the 19 patientswas followed up, and the duration ranged from 12 to 17 months with an average of (13.51±3.17) months. Postoperative follow-up showed all fractures healed. Fracture healing time ranged from 2 to 6 months, with an average of(3.77±1.24) months. There was no internal fixation fracture, screw loosening, infection, internal fixation irritation, heterotopic ossification, elbow stiffness and other complications occurred. The MEPS score of affected elbow at 12 months after operation was 91.26±3.87, which was significantly different from that before operation 56.18±9.56 (<0.05);according to Mayo Elbow function score standard, 11 cases were excellent, 7 cases were good, and 1 case was fair.
It is a reliable fixation method to treat olecranon fracture with double mini locking plate. The incision lengh is small and the fracture fixation is reliable. Elbow joint function exercise can be performed early after operation. Postoperative internal fixation has less skin irritation and satisfactory elbow joint function recovery.
探讨双微型锁定钢板治疗尺骨鹰嘴骨折的临床效果。
选取2017年3月至2020年5月采用双微型锁定钢板治疗的19例鹰嘴骨折患者，其中男12例，女7例，年龄20～75岁，平均（40.50±7.62）岁；左侧损伤10例，右侧损伤9例。19例均为新鲜闭合性骨折，无尺骨冠状突骨折、肘关节脱位等合并伤。记录骨折愈合时间及并发症情况，采用Mayo肘关节功能评分（MEPS）于术前及术后12个月评估临床疗效。
19例患者均获随访，随访时间12～17个月，平均（13.51±3.17）个月。术后随访显示骨折均愈合。骨折愈合时间2～6个月，平均（3.77±1.24）个月。未发生内固定断裂、螺钉松动、感染、内固定刺激、异位骨化、肘关节僵硬等并发症。术后12个月患侧肘关节MEPS评分为91.26±3.87，与术前56.18±9.56相比差异有统计学意义（<0.05）；按照Mayo肘关节功能评分标准，优11例，良7例，可1例。
双微型锁定钢板治疗鹰嘴骨折是一种可靠的固定方法，切口小，骨折固定可靠，术后可早期进行肘关节功能锻炼，术后内固定对皮肤刺激小，肘关节功能恢复满意。
