CAJ | 학술논문

目的：探究桡骨小头粉碎性骨折采用桡骨小头假体置换治疗的临床效果。方法选择该院符合标准的桡骨小头粉碎性骨折患者116例，按照治疗方式的不同分为治疗组和对照组，每组58例。治疗组患者给予桡骨小头假体置换治疗，对照组患者给予桡骨小头切除术治疗，对比两组患者治疗后肘关节功能评分、疼痛、运动、肌力等临床效果情况。结果两组患者术后，病情均有改善，但治疗组患者的VAS评分、肘关节功能评分、伸展角度、握力减弱及提携角增加度数等方面显著优于对照组患者，结果差异有统计学意义（P＜0．05）。结论桡骨小头假体置换治疗桡骨小头粉碎性骨折，有效地提高了患者关节活动范围，促进了肌力和关节功能的恢复，效果显著，值得临床推广。
목적：탐구뇨골소두분쇄성골절채용뇨골소두가체치환치료적림상효과。방법선택해원부합표준적뇨골소두분쇄성골절환자116례，안조치료방식적불동분위치료조화대조조，매조58례。치료조환자급여뇨골소두가체치환치료，대조조환자급여뇨골소두절제술치료，대비량조환자치료후주관절공능평분、동통、운동、기력등림상효과정황。결과량조환자술후，병정균유개선，단치료조환자적VAS평분、주관절공능평분、신전각도、악력감약급제휴각증가도수등방면현저우우대조조환자，결과차이유통계학의의（P＜0．05）。결론뇨골소두가체치환치료뇨골소두분쇄성골절，유효지제고료환자관절활동범위，촉진료기력화관절공능적회복，효과현저，치득림상추엄。
Objective To explore the clinical effect of capitulum radii prosthetic replacement in treating com‐minuted fracture of capitulum radii .Methods 116 patients with comminuted fracture of capitulum radii in our hospi‐tal were selected and divided into the treatment group and the control group according to different treatment meth‐ods ,with 58 cases in each group .The treatment group received the prosthetic replacement of capitulum radii ,while the control group received the capitulum radii excision .The clinical effects such as elbow joint function scores ,pain , movement ,myodynamia after treatment were compared between the two groups .Results The postoperative condi‐tions of the two groups were improved ,but the treatment group was superior to the control group in the aspects of the VAS scores ,elbow joint function scores ,stretching angles ,grip strength weakening and carrying angle increase , the differences had statistical significance (P<0 .05) .Conclusion The prosthetic replacement is significantly effec‐tive in treating comminuted fracture of capitulum radii ,can effectively improve the patients′joint motion range ,and promote the recovery of myodynamia and joint function ,and thus is worth clinical promotion .