肘前侧与肘外侧手术入路对桡骨头骨折的疗效对比分析

Comparative Analysis of Therapeutic Effects between Elbow Anterior and Elbow Lateral Approach for Radial Head Fractures

目的选择我院骨科2009年1月～2011年12月收治的桡骨头骨折患者36例,分为研究组和对照组各18例。方法两组患者均采用微型空心螺钉行内固定术,研究组患者使用肘前侧入路;对照组使用肘外侧入路。对比两组手术时间、及肘关节功能恢复的时间。结果研究组手术时间为37.3±3.6min;对照组为41.6±2.9min。研究组肘关节功能恢复的时间为246.3±32.1d;对照组为285.7±41.7d。结论肘前侧是治疗桡骨头骨折的较理想的手术入路,能有效的缩短手术时间,避免对相邻组织的损伤,促进肘部关节功能恢复。

Objective To analyze therapeutic effects between elbow anterior approach and elbow lateral approach for radial head fractures.Method 36 patients with radial head fractures in department of or- thopaedic from January 2009 to December 201 lwere choosen and divided into research group and con- trol group,each group with 18 cases. All patients were treated with miniature hollow screw fixation line, the patients of research group were used with elbow anterior approach.Control group were used with el- bow lateral approach.The operation time and elbow function recovery time of two groups were com- pared.Results The operation time in research group was 37.3±3.6min, in control group was 41.6±2.9 min.The recovery time of elbow joint function in research group was 246.3±32.1 day, in control group was 285.7±41.7 days.Conclusion The elbow anterior approach is an ideal surgical approach method in the treatment of radial head fractures, it can effectively shorten the operation time,avoid adjacent tis- sue damage,promote the recovery of elbow joint function