CAJ | 학술논문

目的：探讨AO微型T型钢板治疗成人桡骨小头骨折的临床效果。方法选取本院2012年5月~2013年11月收治的44例成人桡骨小头骨折患者进行AO微型T型钢板治疗，术后随访3~24个月，观察患者患处恢复活动时间、术后并发症发生情况，比较患者治疗前后的Mayo肘关节功能评分及优良率。结果治疗前，患者的肘关节功能评分为(54.79±3.01)分，优良率为0，治疗后，肘关节功能评分为(90.10±3.15)分，优良率为97.73%，治疗前后的肘关节功能评分及优良率差异有统计学意义(P<0.05)。患者患处恢复活动时间为(4.21±3.10)d，所有患者无术后并发症。结论 AO微型T型钢板治疗成人桡骨小头骨折有良好的临床效果，能显著改善患者的肘关节功能，术后无并发症或较少发生并发症，安全性高，值得临床推广。
목적：탐토AO미형T형강판치료성인뇨골소두골절적림상효과。방법선취본원2012년5월~2013년11월수치적44례성인뇨골소두골절환자진행AO미형T형강판치료，술후수방3~24개월，관찰환자환처회복활동시간、술후병발증발생정황，비교환자치료전후적Mayo주관절공능평분급우량솔。결과치료전，환자적주관절공능평분위(54.79±3.01)분，우량솔위0，치료후，주관절공능평분위(90.10±3.15)분，우량솔위97.73%，치료전후적주관절공능평분급우량솔차이유통계학의의(P<0.05)。환자환처회복활동시간위(4.21±3.10)d，소유환자무술후병발증。결론 AO미형T형강판치료성인뇨골소두골절유량호적림상효과，능현저개선환자적주관절공능，술후무병발증혹교소발생병발증，안전성고，치득림상추엄。
Objective To study the clinical effect of AO mini T type plate in the treatment of adult radial head frac-ture. Methods Forty-four adult patients with radial head fracture in our hospital from May 2012 to November 2013 were selected and they were treated with AO mini T type plate,patients were followed-up for 3-24 months after surgery,time of activities recovery in the affected part and postoperative complication were observed,and Mayo elbow joint function score and good and excellent rate of score before and after treatment in patients were compared. Results The elbow joint function score was (54.79±3.01) points,and good and excellent rate was 0 before treatment,while the el-bow joint function score was (90.10±3.15) points,and good and excellent rate was 97.73%after treatment,and there was a statistical difference of elbow joint function score and good and excellent rate of score (P<0.05).The time of activity recovery in affected area was (4.21±3.10) d and there was no postoperative complication. Conclusion AO mini T type plate in the treatment of adult radial head fracture obtains a good clinical effect,and it can remarkably improve pa-tients’elbow joint function and there was no complication or fewer after operation with high safety.It is worthy of clini-cal promotion.