CAJ | 학술논문

目的探讨前内侧入路治疗尺骨冠状突骨折的手术治疗效果.方法 2010年1月至2013年10月,采用前内侧入路手术治疗18例尺骨冠状突骨折患者.男11例,女7例;年龄21～55岁,平均33.6岁.致伤原因:摔伤15例,车祸伤3例.尺骨冠突骨折按O'Driscoll分型标准:Ⅰ型6例,Ⅱ型10例,Ⅲ型2例.外伤至手术时间2～10d,平均3.9d.采用微型钢板或螺钉固定.结果 18例患者均获得随访,时间12～ 24个月,平均14.9个月.骨折均获得临床愈合,时间8～ 14周,平均10.6周.末次随访时,肘关节平均屈曲122°(90° ～ 140°),平均伸直丢失20°(0°～50),平均旋前67°(20° ～ 90°),平均旋后61°(30°～ 88°).所有患者肘关节在伸屈位和内翻位稳定.根据Mayo肘关节功能评分标准(MEPS):优14例,良3例,可1例;根据Broberg-Morrey评分:优9例,良7例,可2例.结论前内侧入路治疗尺骨冠状突骨折有利于骨折的复位和固定,具有暴露清楚、内固定安放方便、创伤小及临床疗效好等优点.
목적 탐토전내측입로치료척골관상돌골절적수술치료효과.방법 2010년1월지2013년10월,채용전내측입로수술치료18례척골관상돌골절환자.남11례,녀7례;년령21～55세,평균33.6세.치상원인:솔상15례,차화상3례.척골관돌골절안O'Driscoll분형표준:Ⅰ형6례,Ⅱ형10례,Ⅲ형2례.외상지수술시간2～10d,평균3.9d.채용미형강판혹라정고정.결과 18례환자균획득수방,시간12～ 24개월,평균14.9개월.골절균획득림상유합,시간8～ 14주,평균10.6주.말차수방시,주관절평균굴곡122°(90° ～ 140°),평균신직주실20°(0°～50),평균선전67°(20° ～ 90°),평균선후61°(30°～ 88°).소유환자주관절재신굴위화내번위은정.근거Mayo주관절공능평분표준(MEPS):우14례,량3례,가1례;근거Broberg-Morrey평분:우9례,량7례,가2례.결론 전내측입로치료척골관상돌골절유리우골절적복위화고정,구유폭로청초、내고정안방방편、창상소급림상료효호등우점.
Objective To explore the clinical outcomes of internal fixation of the coronoid process fractures via the anteromedial approach.Methods The study involved 18 cases of coronoid process fractures surgically treated via the anteromedial approach from January 2010 to October 2013.There were 11 males and 7 females,with ages ranging from 21 to 55 years (mean,33.6 years).Causes of the injury included traffic injuries in 3 cases and fall on the ground in 15 cases.There were 6 cases of type Ⅰ,10 cases of type Ⅱ and 2 cases of type Ⅲ fractures according to O'Driscoll classification.Time from injury to operation was 2 to 10 days (mean,3.9 days).The fractures were fixed with mini-plates or screws.Results All cases were followed-up for 12 to 24 months (average,14.9 months).The bony union time was 8 to 14 weeks with an average of 10.6 weeks.Mean elbow flexion at last follow-up was 122°(range,90° to 140°),while mean extension lag of the elbow was 20°(range,0° to 50°).Mean forearm pronation was 67°(range,20° to 90°) while mean supination was 61° (range,30° to 88°).All the elbows were stable in the flexion-extension axis and varus-valgus position.According to the Mayo elbow performance score (MEPS),the results were excellent in 14 cases,good in 3 cases and fair in 1 case.According to Broberg and Morrey elbow performance score,the results were excellent in 9 cases,good in 7 cases and fair in 2 cases.Conclusion The anteromedial approach facilitates the reduction and fixation of the coronoid process fractures and has advantages of clear exposure,convenient hardware placement,being less invasion and leading to good clinical results.