On-table重建技术治疗粉碎性桡骨头骨折——附2例报告

On-table Reconstruction of Comminuted Fractures of the Radial Head-Two Cases Reports

目的:评估对于严重粉碎性桡骨头骨折on-table重建术的意义。方法:回顾性分析2例Mason IV型桡骨头骨折,均给予on-table重建术,低切迹T型钢板内固定,术后对肘关节功能进行随访。结果:1例随访8个月,肘关节活动度屈伸从0～4～100°,旋前80°,旋后80°;1例随访9个月,肘关节活动度屈伸从0～6～90°,旋前85°,旋后80°.Broberg和Morrey功能性评分85分,肘关节功能评估指数(MEPI)为95.2分,平均上肢、肩、手功能障碍(DASH)评分1.94分。结论:年轻病人的桡骨头粉碎性骨折行on-table重建术可以获得相对满意的疗效。

Objective：To evaluate the value of ＂on-table＂ reconstruction technique in severely comminuted fractures of the ra- dial head. Methods： A retrospective study was conducted in two patients with Mason type-IV, who were treated with ＂on- table＂ reconstruction and fixation using low-profile mini-plates, and their elbow function was followed. Results： After a fol- low-up of 8 months in one patient, the mean elbow motion was 0-4-100° extension flexion, with 80° of pronation and 80° of supination. After a follow-up of 9 months in the other case, the mean elbow motion was 0-6-90° extension flexion, with 85° of pronation and 80° of supination. The mean Broberg and Morrey functional rating score was 85.0 points. The Mayo El- bow Performance Index was 95.2 points and the mean Disabilities of the Arm, Shoulder, and Hand （DASH） Outcome Measure score was 1.94 points. Conclusion.. Comminutcd fractures of the radial head in young people can be successfully treated with an ＂on-table＂ reconstruction technique.