使用Herbert螺钉治疗Hahn-Steinthal骨折

Surgical treatment of Hahn-Steinthal fracture using Herbert screws.

作者信息

Saadi Yassine, Neqrachi Alae, Boufettal Moncif, Bassir Rida-Allah, Kharmaz Mohamed, Berrada Mohamed Saleh

机构信息

Orthopaedic Surgery & Traumatology, University Mohamed V, Ibn Sina Hospital, Avenue des Nations Unies, Agdal, Rabat Maroc B.P:8007.N.U, Rabat, Morocco.

出版信息

J Surg Case Rep. 2023 Dec 16;2023(12):rjad673. doi: 10.1093/jscr/rjad673. eCollection 2023 Dec.

DOI:10.1093/jscr/rjad673

PMID:38111499

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10725818/

Abstract

Hahn-Steinthal fractures are rare and often neglected. Their initial management should be early, given the relatively high complication rate. We report eight cases of type I capitellum fractures treated by Herbert screw fixation. Between 2019 and 2022, we selected eight patients (six men and two women) with a mean age of 25 years (18-40 years). The mean follow-up was 2 years (1-3 years). Clinical results were assessed using the Mayo Clinic Elbow Performance Score (MEPS). The mean arc of mobilitý was 135° (105°-150°) for flexion/extension and 161° (150°-175°) for pronosupination. The mean MEPS was 90.6 points, with seven excellent results and one good result. The aim of this study was to highlight the good results of Herbert screw fixation technique in the management of Hahn-Steinthal fractures.

摘要

哈恩-施泰因塔尔骨折较为罕见，常常被忽视。鉴于其相对较高的并发症发生率，其初始治疗应尽早进行。我们报告了8例采用Herbert螺钉固定治疗的I型肱骨小头骨折病例。在2019年至2022年期间，我们选择了8例患者（6名男性和2名女性），平均年龄为25岁（18 - 40岁）。平均随访时间为2年（1 - 3年）。使用梅奥诊所肘关节功能评分（MEPS）评估临床结果。屈伸活动度平均弧度为135°（105° - 150°），旋前旋后活动度平均弧度为161°（150° - 175°）。MEPS平均为90.6分，其中7例结果为优，1例结果为良。本研究的目的是强调Herbert螺钉固定技术在哈恩-施泰因塔尔骨折治疗中的良好效果。