浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
JOURNAL OF ZHEJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2013年
5期
568-569
,共2页
冠状突骨折%尺骨%不稳定%肘前入路%内固定术
冠狀突骨摺%呎骨%不穩定%肘前入路%內固定術
관상돌골절%척골%불은정%주전입로%내고정술
UC fracture%ulna%unstable%elbow passage%internal fixation
[目的]探讨肘前入路切开复位内固定治疗不稳定尺骨冠状突骨折(ulna coronoid,UC)的疗效.[方法]对2006年1月至2011年1月就诊并确诊的22例不稳定UC患者采用肘前入路切开复位内固定治疗.[结果]术后X线片显示本组22例骨折,7例近解剖复位,15例骨折解剖复位;随访10~20个月,平均(13.52±3.25)个月,随访结果:22例骨折均8~17周,平均(11.48±3.25)周,骨性愈合并切口愈合良好,未见内固定松动断裂等严重并发症;肘关节功能标准疗效评定结果:优12例(54.55%),良6例(27.27%),可3例(13.64%),差1例(4.55%),总有效率95.45%.[结论]肘前入路切开复位内固定治疗不稳定U C疗效确切.
[目的]探討肘前入路切開複位內固定治療不穩定呎骨冠狀突骨摺(ulna coronoid,UC)的療效.[方法]對2006年1月至2011年1月就診併確診的22例不穩定UC患者採用肘前入路切開複位內固定治療.[結果]術後X線片顯示本組22例骨摺,7例近解剖複位,15例骨摺解剖複位;隨訪10~20箇月,平均(13.52±3.25)箇月,隨訪結果:22例骨摺均8~17週,平均(11.48±3.25)週,骨性愈閤併切口愈閤良好,未見內固定鬆動斷裂等嚴重併髮癥;肘關節功能標準療效評定結果:優12例(54.55%),良6例(27.27%),可3例(13.64%),差1例(4.55%),總有效率95.45%.[結論]肘前入路切開複位內固定治療不穩定U C療效確切.
[목적]탐토주전입로절개복위내고정치료불은정척골관상돌골절(ulna coronoid,UC)적료효.[방법]대2006년1월지2011년1월취진병학진적22례불은정UC환자채용주전입로절개복위내고정치료.[결과]술후X선편현시본조22례골절,7례근해부복위,15례골절해부복위;수방10~20개월,평균(13.52±3.25)개월,수방결과:22례골절균8~17주,평균(11.48±3.25)주,골성유합병절구유합량호,미견내고정송동단렬등엄중병발증;주관절공능표준료효평정결과:우12례(54.55%),량6례(27.27%),가3례(13.64%),차1례(4.55%),총유효솔95.45%.[결론]주전입로절개복위내고정치료불은정U C료효학절.
Objective] To discuss the cure effect of elbow passage section reposition internal fixation on unstable ulna coronoid(UC) fracture. [Method] Take the method above to 22 cases of such patients. [Result] In 22 cases, 7 cases were near anatomy reposition, 15 anatomy reposition; after 10~20m, (13.52±3.25)m in average of fol ow-up period, with results:22 cases of fracture for 8~17w,(11.48 ±3.25)w in average, with good cut cure, without severe complications of loose or split internal fixation;the resuts of Morrey elbow joint function standard:12 cases were excel ent(54.55%) ,good 6(27.27%),just so so 3(13.64%),bad 1(4.55%),the total effective rate was 95.45%. [Conclusion] The said method has definite cure effect on UC.
