CAJ | 학술논문

目的：探讨微型锁定板结合骨锚固定治疗伴肘关节不稳的尺骨冠突骨折的疗效。方法回顾性分析23例采用微型钢板结合骨锚治疗的伴肘关节不稳的尺骨冠突骨折患者的临床资料，按照Regan-Morrey分型，Ⅱ型16例，Ⅲ型7例。其中11例伴桡骨头骨折，6例有肘关节后脱位，6例同时有桡骨头骨折和肘关节后脱位。通过肘关节前方入路，应用微型钢板和骨锚进行固定。结果23例患者术后随访11～16个月，平均13个月，骨折均骨性愈合。根据Morrey肘关节功能评定标准评定疗效：优11例，良8例，可3例，差1例；优良率82．6％。术后Ⅱ型和Ⅲ型骨折患者患侧与健侧活动范围无统计学差异。结论Ⅱ型和Ⅲ型尺骨冠突骨折多伴有肘关节创伤性不稳的发生，在固定骨折的同时需要修复韧带。微型钢板结合骨锚固定能有效固定尺骨冠突骨折，恢复肘关节功能。
목적：탐토미형쇄정판결합골묘고정치료반주관절불은적척골관돌골절적료효。방법회고성분석23례채용미형강판결합골묘치료적반주관절불은적척골관돌골절환자적림상자료，안조Regan-Morrey분형，Ⅱ형16례，Ⅲ형7례。기중11례반뇨골두골절，6례유주관절후탈위，6례동시유뇨골두골절화주관절후탈위。통과주관절전방입로，응용미형강판화골묘진행고정。결과23례환자술후수방11～16개월，평균13개월，골절균골성유합。근거Morrey주관절공능평정표준평정료효：우11례，량8례，가3례，차1례；우량솔82．6％。술후Ⅱ형화Ⅲ형골절환자환측여건측활동범위무통계학차이。결론Ⅱ형화Ⅲ형척골관돌골절다반유주관절창상성불은적발생，재고정골절적동시수요수복인대。미형강판결합골묘고정능유효고정척골관돌골절，회복주관절공능。
Objective To discuss the treatment of ulna coronoid process fractures with mini locking plates and su-ture anchors .Methods The clinical data of 23 patients with coronoid fractures who had been treated with mini plates and suture anchors were retrospectively analyzed .According to Regan-Morrey classification , ulna coronary process frac-tures were type Ⅱin 16 cases and type Ⅲin 7 cases.In addition, there were 11 cases with fractures of radial head , 6 cases with posterior dislocation of elbow , and 6 cases with both above -mentioned injuries .Through an anterior ap-proach, mini plates and suture anchors were applied in all the patients .Results Twenty-three cases were followed up for an average of 13 months (range, 11-16 months).All the fractures healed well.The clinical results evaluated ac-cording to Morrey′s scale, 11 cases were rated as excellent , 8 as good, 3 as fair and 1 as poor.The excellent and good rate was 82.6%.There was no statistical significance when motion range of two -side joints was compared .Conclusion The typeⅡand typeⅢulna coronary process fractures are often complicated with traumatic elbow instability .The lig-ament must be repaired when internal fixation for fractures is made .Mini plates and suture anchors are effective for coro-noid fixation , so are good for the recovery of elbow joint function .