Department of Sports Injury and Arthroscopy, Handan City Central Hospital, No.15 of Zhong hua Road, Hanshan District, Handan, 056001, China.
BMC Musculoskelet Disord. 2023 Feb 11;24(1):117. doi: 10.1186/s12891-023-06188-1.
This study aimed to analyze and study the clinical effect of suture anchors in the treatment of radial head fractures (RHFs).
A total of 11 patients (five male and six female) with RHFs who were treated from March 2016 to June 2021 were included in this study. They were 17-61 (average 38.5) years old. In terms of the Johnston-Mason classification, two cases were type II, seven cases were type III, and two cases were type IV. All patients were treated with open reduction and anchor internal fixation.
All 11 patients were followed up, all incisions healed by first intention, and the duration of follow-up was 14-20 months. The average operation time was 40 ± 15 min. The clinical healing time was 4-6 (average 5) weeks. No patients had any complications, such as traumatic arthritis, malunion, nerve injury, joint stiffness, or incision infection. The clinical effects were evaluated according to the Mayo Elbow Performance Score. The scores of all 11 cases were 90-95, all excellent.
The application of suture anchor internal fixation in the treatment of RHFs has the advantages of accurate reduction, no need for a secondary operation to remove the fixation materials, less trauma, fewer complications, good fracture healing, and good recovery of elbow extension, flexion, and rotation functions.
本研究旨在分析和研究缝线锚钉治疗桡骨头骨折（RHFs）的临床效果。
本研究纳入了 2016 年 3 月至 2021 年 6 月期间收治的 11 例 RHFs 患者（男 5 例，女 6 例）。患者年龄 17-61 岁，平均 38.5 岁。根据 Johnston-Mason 分类，2 例为Ⅱ型，7 例为Ⅲ型，2 例为Ⅳ型。所有患者均采用切开复位锚钉内固定治疗。
所有 11 例患者均获得随访，切口均一期愈合，随访时间 14-20 个月，平均手术时间 40±15min，临床愈合时间 4-6 周，平均 5 周。所有患者均未出现创伤性关节炎、畸形愈合、神经损伤、关节僵硬或切口感染等并发症。根据 Mayo 肘关节功能评分评估临床疗效，11 例患者的评分均为 90-95 分，均为优。
缝线锚钉内固定治疗 RHFs 具有复位准确、无需二次手术取出固定物、创伤小、并发症少、骨折愈合良好、肘关节伸屈和旋转功能恢复良好等优点。
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