中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
7期
44-45
,共2页
尺骨骨折%肘关节%关节不稳定性
呎骨骨摺%肘關節%關節不穩定性
척골골절%주관절%관절불은정성
Ulna fracture%Elbow joint%Joint instability
目的 探讨尺骨冠突骨折的治疗方法.方法 2006年1月至2009年3月采用克氏针、螺钉、钢丝或丝线等手术治疗21例尺骨冠突骨折.结果 平均随访23个月,所有患者均骨性愈合,平均愈合时间8.2周,无伤口感染及内固定松动、断裂,无神经损伤,无关节强直等并发症,肘关节半脱位1例,骨化性肌炎2例.根据肘关节功能评定标准评定疗效:优11例,良5例,可4例,差1例,优良率为76.2%.结论 尺骨冠突对维持肘关节的稳定性十分重要,以手术治疗为宜,手术不仅可以复位、固定骨折,同时也可修复或重建损伤的韧带,可早期行肘关节的功能锻炼.
目的 探討呎骨冠突骨摺的治療方法.方法 2006年1月至2009年3月採用剋氏針、螺釘、鋼絲或絲線等手術治療21例呎骨冠突骨摺.結果 平均隨訪23箇月,所有患者均骨性愈閤,平均愈閤時間8.2週,無傷口感染及內固定鬆動、斷裂,無神經損傷,無關節彊直等併髮癥,肘關節半脫位1例,骨化性肌炎2例.根據肘關節功能評定標準評定療效:優11例,良5例,可4例,差1例,優良率為76.2%.結論 呎骨冠突對維持肘關節的穩定性十分重要,以手術治療為宜,手術不僅可以複位、固定骨摺,同時也可脩複或重建損傷的韌帶,可早期行肘關節的功能鍛煉.
목적 탐토척골관돌골절적치료방법.방법 2006년1월지2009년3월채용극씨침、라정、강사혹사선등수술치료21례척골관돌골절.결과 평균수방23개월,소유환자균골성유합,평균유합시간8.2주,무상구감염급내고정송동、단렬,무신경손상,무관절강직등병발증,주관절반탈위1례,골화성기염2례.근거주관절공능평정표준평정료효:우11례,량5례,가4례,차1례,우량솔위76.2%.결론 척골관돌대유지주관절적은정성십분중요,이수술치료위의,수술불부가이복위、고정골절,동시야가수복혹중건손상적인대,가조기행주관절적공능단련.
Objective To explore the treatment of ulna coronoid process fracture.Methods Twenty-one patients with the ulna coronoid process fracture were treated surgically by methods of internal fixation with kirschner wires,screws,steel wires and the silk thread between January 2006 and March 2009. Results Twenty-one patients were followed up for an average 23 months.All of the fractures healed well, the averaged healing time was 8.2 weeks. No inflammation,neural injuries,loosening or breakage of the internal fixations and or other severe complications occurred, except for 1 case with subluxation of elbow joint and 2 cases with myositis ossificans.The clinical results: 11 cases were excellent,5 cases were good,4 cases were fair and 1 case was poor.The rate of excellent and good was 76.2%. Conclusions Ulna coronoid process is very important for elbow stability,the fracture should be treated by operation.The surgical treatment not only can reset and fix fractures,but also can repair or reconstruct ligaments, so it can facilitate the early functional exercises of elbow joint.
