CAJ | 학술논문

背景：目前，治疗不稳定的粉碎性桡骨小头骨折的方法主要为切开复位内固定和金属桡骨小头假体置换两种，均有成功的病例报道，但同时都存在不足。 　　目的：比较桡骨小头假体置换和切开复位内固定治疗不稳定性粉碎性桡骨小头骨折的临床疗效。 　　方法：采用前瞻性随机对照分析45例不稳定性粉碎性桡骨小头骨折病例，分别给予桡骨小头假体置换和切开复位内固定治疗，比较两组Broberg and Morrey肘关节功能评分及两组内固定后并发症发生率，并进行统计学分析。 　　结果与结论：纳入患者均获得1-5年随访，平均随访2.8年。按照Broberg and Morrey评分，假体置换组平均90.1分，并发症发生率13.6%，切开复位组平均76.8分，并发症发生率47.9%，两组比较差异有显著性意义(P<0.01)。与切开复位内固定治疗相比较，桡骨小头假体置换治疗不稳定性粉碎性桡骨小头骨折可获得更好的关节功能和更低的并发症发生率。
배경：목전，치료불은정적분쇄성뇨골소두골절적방법주요위절개복위내고정화금속뇨골소두가체치환량충，균유성공적병례보도，단동시도존재불족。 　　목적：비교뇨골소두가체치환화절개복위내고정치료불은정성분쇄성뇨골소두골절적림상료효。 　　방법：채용전첨성수궤대조분석45례불은정성분쇄성뇨골소두골절병례，분별급여뇨골소두가체치환화절개복위내고정치료，비교량조Broberg and Morrey주관절공능평분급량조내고정후병발증발생솔，병진행통계학분석。 　　결과여결론：납입환자균획득1-5년수방，평균수방2.8년。안조Broberg and Morrey평분，가체치환조평균90.1분，병발증발생솔13.6%，절개복위조평균76.8분，병발증발생솔47.9%，량조비교차이유현저성의의(P<0.01)。여절개복위내고정치료상비교，뇨골소두가체치환치료불은정성분쇄성뇨골소두골절가획득경호적관절공능화경저적병발증발생솔。
BACKGROUND:At present, the methods of treating unstable comminuted radial head fractures contain open reduction and internal fixation and metal prosthesis replacement. There were success cases treated by the two methods, but some shortcomings simultaneously existed. OBJECTIVE:To compare the clinical therapeutic effects of replacement of the radial head with metal prosthesis with open reduction and internal fixation for the treatment of unstable comminuted radial head fractures. METHODS:A prospective randomized control ed analysis was performed in 45 cases of unstable comminuted radial head fractures. These cases received open reduction and internal fixation and metal prosthesis replacement. This study compared the Broberg and Morrey elbow joint function score and the incidence of complications after fixation, and performed statistical analysis. RESULTS AND CONCLUSION:The subjects were fol owed up for 1-5 years, averagely 2.8 years. According to Broberg and Morrey scores, the average score was 90.1 and the incidence of complications was 13.6%in the prosthesis replacement group. The average score was 76.8 and the incidence of complications was 47.9%in the open reduction. Significant differences were visible between the two groups (P<0.01). Compared with the open reduction group, prosthesis replacement for unstable comminuted radial head fractures obtained better joint function and lower incidence of complications.