尺骨近端粉碎性骨折的手术治疗及进展

Clinical Cure and Advancement of Ulna Near-end Comminuted Fracture

尺骨近端包括尺骨鹰嘴和部分尺骨近段骨干,以尺骨鹰嘴粉碎性骨折为主,为成人常见肘部、前臂损伤,可由直接暴力或间接暴力导致。尺骨近端粉碎性骨折的最终治疗目标为:恢复关节面的光滑平整,使关节面对合优良;恢复肘关节的伸肘力量,屈伸范围良好;恢复关节的稳定性、活动度;避免骨性关节炎等并发症的发生;恢复前臂的旋臂功能。近年来,临床上对于尺骨近端粉碎性骨折的治疗和手术内固定选择存在某些差异。为更好地以科学的态度和方法解决尺骨近端粉碎性骨折手术内固定选择问题,特将部分观点综述如下。

Ulna near-end include olecranon and part of ulna diaphysis.Ulna olecranon comminuted fracture is primary, which lead by direct or indirect violence is common in injure of adult elbow and cubitus. The final cure aim of ulna near-end comminuted fracture include： recover smooth of joint surface, let joint surface fine folding; recover elbow stretch physical strength,fine extent of bend-stretch;recover joint stability and activity; avoid incidence of complication such as osteoarthritis; recover cubitus spin function.In recent years, how to treating and selecting operational internal fixation exist some of difference. To preferably resolve problem of operational internal fixation selection of ulna near-end comminuted fracture by scientific manner and method, summarize portion of viewpoints as follow.