The outcome efficiency of internal fixation using mini titanium plate for treatment of radius head fracture with Mason Ⅱ or Ⅲ type
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摘要:
目的探讨微型钛板内固定治疗MasonⅡ、Ⅲ型桡骨头骨折的疗效。 方法对自2006年1月~2014年1月收治30例MasonⅡ、Ⅲ型桡骨头骨折，采用切开复位微型钛板内固定术进行治疗，术中有3例行同种异体骨植骨，2例行侧副韧带修复。 结果25例获得随访，随访10~29个月，平均15个月，全部骨性愈合，无畸形，按照Broberg和Morrey的肘关节功能评分标准进行评分，评分为平均93分（70~100分）；肘关节屈曲平均120°（100~145°），伸直平均3°（0~10°），旋前平均50°（30~80°），旋后平均60°（40~85°）；本组：优18例，良5例，中2例，优良率92%。所有患者肘关节功能恢复良好，其中1例肌力稍较弱，对功能无影响，仅1例遗留肘部轻度疼痛。 结论采用切开复位微型钛板内固定术治疗MasonⅡ、Ⅲ型桡骨头骨折临床疗效满意，内固定牢固，可早期功能锻炼，减少并发症及致残率发生。 Abstract:Objective To investigate the outcome efficiency of internal fixation using mini titanium plate for treatment of radius head fracture with Mason Ⅱ or Ⅲ type. Methods Radius head fracture with Mason Ⅱ or Ⅲ type in 30 patients were treated by open reduction and internal fixation with mini titanium plate. In these 30 cases, 3 patients adopted allograft bone treatment, and collateral ligaments were repaired in 2 cases. Result Bone healing occurred in all 25 cases which were followed for average 15 months from 10 to 29 months. No deformations were observed in these cases after operation. The functional evaluation scale of elbow was average 93 (from 70 to 100), the angle of elbow supination was average 60° (from 40° to 85°). In this group, the excellent and good rate of outcome is 92% with excellent in 18 cases, and the good in 5 cases respectively. There was one patient's muscle force was weaker but no effect to elbow function, and mild elbow pain occurred in another patient. Conclusion The outcome of internal fixation using mini titanium plate for treatment of radius head fracture with Mason Ⅱ or Ⅲ type is satisfied with security of internal fixation, early exercise of joint and decreasing of disability rate. -
Key words:
- mini titanium plate /
- head of radius /
- fracture
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