CAJ | 학술논문

回顾性分析2001-08/2008-12苏州大学附属第二医院骨科收治的尺骨骨折、骨不连患者23例,男16例,女7例;年龄20-72岁,平均41.8岁.单纯尺骨骨折14例,孟氏骨折6例,其中新鲜骨折19例,陈旧性骨折,例:尺骨骨折术后骨不连、钢板断裂3例.全部患者均采用交锁髓内钉固定治疗.记录患者内固定时间,骨折平均愈合时间,Anderson评价前臂骨折功能,并随访术中术后并发症发生情况.本组23例患者均获随访,随访时间6个月～7.3年.依据Hertel前臂骨折愈合分类,23例获得骨性愈合,骨折平均愈合时间14.7周;无髓内钉松动、断裂,无切口感染.20例已行内固定取出,无再发骨折.按照Anderson前臂功能评价标准,22例患者前臂功能为优,1例功能满意.提示尺骨交锁髓内钉固定具有创伤小、恢复期短、再骨折率低等优点.适用于治疗尺骨干骨折、尺骨多段骨折、骨缺损、骨折不愈合或用加压钢板固定失败;软组织损伤严重或骨质疏松患者的尺骨骨折.
회고성분석2001-08/2008-12소주대학부속제이의원골과수치적척골골절、골불련환자23례,남16례,녀7례;년령20-72세,평균41.8세.단순척골골절14례,맹씨골절6례,기중신선골절19례,진구성골절,례:척골골절술후골불련、강판단렬3례.전부환자균채용교쇄수내정고정치료.기록환자내고정시간,골절평균유합시간,Anderson평개전비골절공능,병수방술중술후병발증발생정황.본조23례환자균획수방,수방시간6개월～7.3년.의거Hertel전비골절유합분류,23례획득골성유합,골절평균유합시간14.7주;무수내정송동、단렬,무절구감염.20례이행내고정취출,무재발골절.안조Anderson전비공능평개표준,22례환자전비공능위우,1례공능만의.제시척골교쇄수내정고정구유창상소、회복기단、재골절솔저등우점.괄용우치료척골간골절、척골다단골절、골결손、골절불유합혹용가압강판고정실패;연조직손상엄중혹골질소송환자적척골골절.
The present study retrospectively analyzed 23 patients with ulnar fracture or bone nonunion who received treatment in the Department of Orthopedics, Second Affiliated Hospital of Soochow University between August 2001 and December 2008. These patients comprised 16 males, 7 females, and averaged 41.8 years old (range 20-72 years old). Of them, 14 had single ulnar fracture, 6 had monteggia fracture, 19 had fresh fracture, 1 had obsolete fracture, and 3 presented with bone nonunion and plate breakage following ulnar fracture. All patients received interlocking intramedullary nailing. Internal fixation time and the mean time to fracture healing were recorded. The function of nailed forearm was evaluated using Anderson criteria. All 23 patients were followed up in terms of intra- and post-operative complications for a period of 6 months -7.3 years. Following Hertel classification criteria, bone union occurring at a mean of 14.7 weeks was found in 23 patients. No intramedullary nail loosening, fragmentation, or incision infection was observed. Twenty patients had intramedullary nails removed but did not present recurred fracture. According to the Anderson evaluation criteria regarding forearm functions, the results were excellent in 22 patients and satisfactory in 1 patient. These findings indicated that interlocking intramedullary nailing for treatment of ulnar fracture provides less trauma, short recovery period, and low recurrence. For these advantages, it is suitable for treatment of ulnar shaft fracture, multi-segment ulnar fracture, bone defects, bone non-union, and the fractures failed after compression plating; in addition, it is a better choice in treating ulnar fracture in patients with severe soft tissue injury or osteoporosis.