尺骨鹰嘴解剖型钢板治疗粉碎性尺骨鹰嘴骨折

Application of anatomical plates in comminuted olecranon fractures

目的探讨尺骨鹰嘴解剖型钢板治疗粉碎性尺骨鹰嘴骨折的疗效。方法采用尺骨鹰嘴解剖型钢板治疗36例粉碎性尺骨鹰嘴骨折患者。结果患者骨折均获得解剖复位。36例均获随访,时间8～15个月。按Broberg和Morrey评估标准进行功能评定:优28例,良5例,可3例,优良率为91.6%。无伤口感染、神经损伤等并发症。2例发生创伤性关节炎,经药物治疗后症状缓解。结论尺骨鹰嘴解剖型钢板治疗尺骨鹰嘴粉碎性骨折疗效好,能够达到解剖复位,手术固定牢靠。

Objective To evaluate the therapeutic effect of treatment of comminuted olecranon fractures with anatomi- cal plates. Methods A total of 36 patients with comminuted olecranon fractures were treated by anatomical plates. Results All fractures were anatomical reduced by operation. All cases were followed up for 8 ～ 15months. Accord- ing to Broberg and Morrey scoring system, 28 patients were rated as excellent, 5 good, and 3 fair. The rate of excel- lent and good results was 91.6%. No cases of infection, neural injury was found. 2 cases had traumatic arthritis, and both eases were relived by pharmacotherapy. Conclusions The application of anatomical plates has advantages of effective fixation, early exercise and fewer complications. It is one of the idea choices to treat comminuted olecra- non fractures.