MasonⅡ Ⅲ型桡骨头骨折的手术治疗

Surgical Treatment of Mason Type-Ⅱ、Ⅲ Fractures of Radial Head

目的：总结应用切开复位微型钢板内固定治疗Mason Ⅱ、Ⅲ型桡骨头骨折的手术方法和临床疗效。方法：采用切开复位微型钢板内固定术治疗Mason Ⅱ、Ⅲ型桡骨头骨折的患者30例，其中Mason Ⅱ 18例，Ⅲ型12例。术后随访时根据X线检查、活动范围及Broberg和Morrey功能评分对肘关节的功能及疗效进行评估。结果：本组30例均获随访，随访时间9～25个月，平均13个月，骨折均获骨性愈合，愈合时间为2～5个月，平均2个月。根据Broberg和Morrey肘关节功能评分标准进行评估，优14例，良12例，可4例，优良率86．7％。Mason Ⅱ型组的疗效明显优于Mason Ⅲ型组（P〈0．05）。结论：对Mason Ⅱ、Ⅲ型桡骨头骨折采取切开复位内固定术能获得较好的肘关节功能，内固定物应选择微型钢板，对桡骨头切除要慎重。

Objective： To summarize the the surgical management and clinical results of open redaction and internal fixation with minor plate in treatment of Mason type - Ⅱ, Ⅲ fracture of radial head. Method： Thirty patients with Mason type - Ⅱ, Ⅲ fracture of radial head were performed with open reduction and internal fixation with minor plate. The results were assessed for statistical analysis on the following aspects： motion and X - ray. Broberg and Money criterion were used to assessed elbow function and curative effect. suit： Thirty patients were followed up for a mean time of 13 months. Evaluation was done according to Broberg and Morrey score systems. The function recovered well in 86.7% of the cases. The results of Mason type - Ⅱ were better than Mason type - Ⅲ. Conclusion： Open reduction and internal fixation can obtain good elbow function. Internal fixation choose minor plate. We should adopt a prudent policy to the radial head resection.