Esser R D, Davis S, Taavao T
Division of Orthopaedic Surgery, Stanford University Medical Center, California 94305, USA.
J Orthop Trauma. 1995;9(4):318-23. doi: 10.1097/00005131-199509040-00008.
Twenty-six patients, ranging in age from 14 to 57 years (average 29 years), were evaluated an average of 7 years and 4 months (range 1-14 years) after open reduction and internal fixation of a displaced radial head fracture. Using Mason's classification, there were 11 type II fractures, 9 type III fractures, and 6 type IV fractures with associated dislocation of the elbow. Seven patients had ipsilateral extremity injuries that included fractures of the coronoid process, capitellum, humerus, and distal radius. Using the Broberg and Morrey elbow score, good or excellent results were achieved in all Mason type II and type III fractures. Four of the six Mason type IV fractures were rated good or excellent. Fair results were obtained in two patients who had an associated dislocation of the elbow and multiple ipsilateral extremity injuries. In these two patients, secondary excision of the radial head relieved pain and yielded some improvement in flexion and forearm rotation.
26例患者，年龄在14至57岁之间（平均29岁），在桡骨头移位骨折切开复位内固定术后平均7年4个月（范围1至14年）接受评估。根据梅森分类法，有11例Ⅱ型骨折、9例Ⅲ型骨折和6例Ⅳ型骨折并伴有肘关节脱位。7例患者同侧肢体有损伤，包括冠状突、肱骨小头、肱骨和桡骨远端骨折。使用布罗伯格和莫里肘关节评分系统，所有梅森Ⅱ型和Ⅲ型骨折均取得了良好或优异的结果。6例梅森Ⅳ型骨折中有4例被评为良好或优异。2例伴有肘关节脱位和同侧肢体多处损伤的患者结果为一般。在这2例患者中，桡骨头二期切除术缓解了疼痛，并在屈曲和前臂旋转方面有一定改善。
