CAJ | 학술논문

目的探讨应用不同内固定方法治疗成人桡骨颈骨折的疗效.方法对21例Mason Ⅱ、Ⅲ桡骨颈骨折患者,采用切开复位微型钢板内固定(16例)和克氏针内固定(5例),术后对两组肘关节功能进行比较分析.结果 21例患者均获得随访,随访时间为16～42个月,平均33个月.1例克氏针固定患者骨折不愈合,术后8个月再次行微型钢板内固定.余20例患者均骨性愈合.按照Broberg和Money肘关节功能评分标准进行评估:微型钢板组优11例、良4例、可1例,优良率为93.8%;克氏针固定组优1例、良2例、可1例、差1例,优良率为60.0%.结论在治疗成人MasonⅡ、Ⅲ型桡骨颈骨折时,采用切开复位内固定是获得良好肘关节功能的首要选择.其中微型钢板内固定治疗明显优于克氏针.
목적 탐토응용불동내고정방법치료성인뇨골경골절적료효.방법 대21례Mason Ⅱ、Ⅲ뇨골경골절환자,채용절개복위미형강판내고정(16례)화극씨침내고정(5례),술후대량조주관절공능진행비교분석.결과 21례환자균획득수방,수방시간위16～42개월,평균33개월.1례극씨침고정환자골절불유합,술후8개월재차행미형강판내고정.여20례환자균골성유합.안조Broberg화Money주관절공능평분표준진행평고:미형강판조우11례、량4례、가1례,우량솔위93.8%;극씨침고정조우1례、량2례、가1례、차1례,우량솔위60.0%.결론 재치료성인MasonⅡ、Ⅲ형뇨골경골절시,채용절개복위내고정시획득량호주관절공능적수요선택.기중미형강판내고정치료명현우우극씨침.
Objective To evaluate the clinical outcomes of different internal fixation methods to treat adult radial neck fractures. Methods Twenty-one cases of Mason Ⅱ and Ⅲ radial neck fractures were treated with open reduction and internal fixation. Mini-plate and Kirschner-wire fixation was used in 16 cases and 5 cases, respectively. Elbow functions were evaluated and compared between the two groups. Results All patients were follow-up for 16 to 42 months (average 33 months). Nonunion occurred in one case with K-wire fixation, which was treated with mini-plate fixation 8 months after the first surgery. All other 20 cases achieved bone union. According to Broberg and Morrey score system, the mini-plate group had excellent results in 11 cases, good results in 4 cases and fair results in 1 case, with an overall excellent and good rate of 93.8%. The K-wire group had excellent results in 1 case, good results in 2 cases, fair results in 1 case and poor results in 1 case, with an overall excellent and good rate of 60.0%. Conclusion Open reduction and internal fixation is the most appropriate way to treat adult Mason Ⅱ and Ⅲ radial neck fractures. Mini-plate fixation is significantly better than K-wire fixation.