CAJ | 학술논문

目的探讨应用可吸收螺钉治疗Mason Ⅱ型及部分MasonⅢ型桡骨头骨折的疗效. 方法自1999年1月至2006年5月共收治桡骨头骨折患者36例,其中18例采用切开复位.2.0 am或2.7 mm可吸收螺钉固定,术后早期进行肘关节的屈伸及前臂的旋转活动,定期随访患肘正、侧位X线片,观察肘关节屈伸及前臂的旋转活动度.按照Mayo评分评估患者肘关节功能.结果 18例患者均获得6～24个月随访,平均随访8.3个月.18例骨折均获Ⅰ期愈合,平均愈合时间10周,肘关节屈伸活动范围平均109°,前臂旋转活动范围平均92°,Mayo评分优良率为88.8%(16/18). 结论对于Mason Ⅱ型及部分Mason Ⅲ型桡骨头骨折的患者采用切开复位,可吸收螺钉固定治疗,无需二次手术取出内固定,患者能早期进行功能锻炼,并获得良好疗效.
목적 탐토응용가흡수라정치료Mason Ⅱ형급부분MasonⅢ형뇨골두골절적료효. 방법 자1999년1월지2006년5월공수치뇨골두골절환자36례,기중18례채용절개복위.2.0 am혹2.7 mm가흡수라정고정,술후조기진행주관절적굴신급전비적선전활동,정기수방환주정、측위X선편,관찰주관절굴신급전비적선전활동도.안조Mayo평분평고환자주관절공능.결과 18례환자균획득6～24개월수방,평균수방8.3개월.18례골절균획Ⅰ기유합,평균유합시간10주,주관절굴신활동범위평균109°,전비선전활동범위평균92°,Mayo평분우량솔위88.8%(16/18). 결론 대우Mason Ⅱ형급부분Mason Ⅲ형뇨골두골절적환자채용절개복위,가흡수라정고정치료,무수이차수술취출내고정,환자능조기진행공능단련,병획득량호료효.
Objective To discuss the effect of mini-absorptive screws applied in treatment of radial head fractures. Methods From January 1999 to May 2006.36 cases of radial head fractures received operation in our department.Eiighteen of them underwent open reduction and internal fixation with 2.0 mm and 2.7 mm absorptive screws.All the patients were encouraged to flex elbow and rotate forearm in early stage exercise after operation.The 18 cases were followed up for an average of 8.3 months through X-ray to investigate their fracture healing,range of elbow flexion and forearm rotation. Resuits All the 18 fractures healed primarily.The average healing time was 10 weeks.The average elbow extension-flexion range was 109°and forearm rotation range 92°. Conclusion Treatment of radial head fractures of type Ⅱ and partially typeⅢwith mini-absorptive screws has advantages of less invasion,stable fixation,avoidance of seeondary operation,and possibility to do early rehabilitation.