CAJ | 학술논문

目的：比较桡骨头切除术和切开复位微型钢板内固定术治疗 Mason Ⅱ、Ⅲ型桡骨头骨折的临床疗效。方法将32例病例分为传统桡骨头切除术组（传统组）和切开复位微型钢板内固定组（实验组），每组各16例，术后通过随访对两组患者肘关节的视觉模拟评分标准（VAS）、Broberg 和 Morrey 功能评分、活动度以及 X 线摄片表现进行比较研究。结果术前两组患者的 VAS 、Broberg 和 Morrey 功能评分、活动度等比较差异均无统计学意义（P＞0．05）。手术后两组 VAS 、功能评分和关节活动度均明显改善，差异有统计学意义（P ＜0．05），且实验组的改善程度显著优于传统组；实验组的随访骨性愈合时间、并发症发生率均少于传统组，差异有统计学意义（ P ＜0．05）。结论与传统桡骨头切除术相比，微型钢板内固定治疗 Mason Ⅱ、Ⅲ型桡骨头骨折可取得较满意的临床疗效，关节有更好的功能恢复和预后。
목적：비교뇨골두절제술화절개복위미형강판내고정술치료 Mason Ⅱ、Ⅲ형뇨골두골절적림상료효。방법장32례병례분위전통뇨골두절제술조（전통조）화절개복위미형강판내고정조（실험조），매조각16례，술후통과수방대량조환자주관절적시각모의평분표준（VAS）、Broberg 화 Morrey 공능평분、활동도이급 X 선섭편표현진행비교연구。결과술전량조환자적 VAS 、Broberg 화 Morrey 공능평분、활동도등비교차이균무통계학의의（P＞0．05）。수술후량조 VAS 、공능평분화관절활동도균명현개선，차이유통계학의의（P ＜0．05），차실험조적개선정도현저우우전통조；실험조적수방골성유합시간、병발증발생솔균소우전통조，차이유통계학의의（ P ＜0．05）。결론여전통뇨골두절제술상비，미형강판내고정치료 Mason Ⅱ、Ⅲ형뇨골두골절가취득교만의적림상료효，관절유경호적공능회복화예후。
Objective To compare the clinical efficacy between radial head resection and open reduction com -bined with internal miniature plate fixation in Mason Ⅱ ,Ⅲ radial head fractures .Methods 32 cases were divided into the traditional radial head resection group(conventional group) and open reduction combined with internal miniature plate fixation group(experimental group) ,16 cases in each group .The datas about the elbow VAS ,Broberg and Mor-rey functional score ,activity and X-ray performance of patients before surgery and after surgery were collected and compared between two groups .Results There was no significant difference about the indicators refferenced above in two groups of patients on preoperative (P> 0 .05) .After surgery ,VAS ,function score and range of motion were sig-nificantly improved in both groups(P< 0 .05) ,and the degree of improvement in the experimental group was signifi-cantly better than the traditional group(P< 0 .05) ;Bone healing time ,complication rates in experimental group was lower than traditional group(P< 0 .05) .Conclusion Compared with with radial head resection ,open reduction com-bined with internal fixation obtained satisfactory clinical efficacy and better joint function recovery and prognosis in treatment on Mason Ⅱ - Ⅲ radial head fractures .