CAJ | 학술논문

目的:探讨Regan-MorreyⅠ、Ⅱ型冠状突骨折合并肘关节脱位手术治疗的方法和疗效.方法:2008年1月至2011年7月,收治尺骨冠状突骨折合并肘关节脱位15例,其中Regan-MorreyⅠ型5例,Ⅱ型10例.男9例,女6例.年龄18~48岁,平均28岁.采用“套索”法或空心螺钉内固定手术治疗,同时探查并修复侧副韧带及关节囊.结果:随访时间12~30个月,平均18个月,所有骨折均达骨性愈合,愈合时间6~10周,平均8.2周.2例术后并发异位骨化,1例出现肘关节不稳.根据Morrey肘关节功能评定标准,优10例,良3例,可2例,差0例.结论:Regan-MorreyⅠ、Ⅱ型冠状突骨折合并肘关节脱位采用手术治疗,可获得满意疗效,“套索”法或空心螺钉固定骨折的同时,需探查和修复周围韧带损伤.
목적:탐토Regan-MorreyⅠ、Ⅱ형관상돌골절합병주관절탈위수술치료적방법화료효.방법:2008년1월지2011년7월,수치척골관상돌골절합병주관절탈위15례,기중Regan-MorreyⅠ형5례,Ⅱ형10례.남9례,녀6례.년령18~48세,평균28세.채용“투색”법혹공심라정내고정수술치료,동시탐사병수복측부인대급관절낭.결과:수방시간12~30개월,평균18개월,소유골절균체골성유합,유합시간6~10주,평균8.2주.2례술후병발이위골화,1례출현주관절불은.근거Morrey주관절공능평정표준,우10례,량3례,가2례,차0례.결론:Regan-MorreyⅠ、Ⅱ형관상돌골절합병주관절탈위채용수술치료,가획득만의료효,“투색”법혹공심라정고정골절적동시,수탐사화수복주위인대손상.
Objective: To explore the result of surgical treatment for Regan-Morrey typeⅠ-Ⅱ coronoid fractures combined with elbow dislocations. Methods:15 patient(male 9, female 6;mean age 28 years,range from 18 to 48 years),underwent surgical treatment for coronoid fracture accompanied elbow dislocation. 5 patients had Regan-Morrey typeⅠand 10 had type Ⅱcoronoid fractures.Coronoid fractures were fixed with Lasso suture or cannulated screws, the injured collateral ligament and elbow capsule were repaired at the same time. Results:The mean follow-up period was 18 months (range from 12 to 30 months).All fractures healed in 6~10 weeks with an average of 8.2 weeks.Assessed according to Morrey elbow performance score:excellent 10 cases,good 3 cases,fair 2 cases and poor no case. Conclusion: Surgical treatment of Regan-Morrey type Ⅰ、 Ⅱ coronoid fracture with elbow dislocation has satisfactory effects,but the injury of surrounding ligament should be chercked and repaired.