摘要
目的:探讨肘关节镜下应用Harbert钉治疗MasonⅡ型桡骨小头骨折的方法和临床疗效。方法:2009年10A~2013年4月,采用肘关节镜下应用Harbert钉内固定治疗MasonⅡ型桡骨小头骨折26例,术后早期康复训练。术后定期随访复查X线,比较患侧与健侧屈曲、旋转活动度,采用Mayo评分评价肘关节功能。结果:26例患者切口均Ⅰ期愈合,术后3个月复查X线,均显示骨折线消失,骨折愈合。患侧屈伸活动度(138.0±8.1)°,健侧(142.0±4.6)°,两者差异无统计学意义(P〉0.05):患侧旋转活动厦(142.8±10.5)°,健侧(145.5±3.8)°,两者差异无统计学意义(P〉0.05)。患侧肘关节Mayo评分平均92.7分,其中优22例,良4例。26例患者主观满意度良好。结论:肘关节镜下应用Harbert钉治疗MasonⅡ型桡骨小头骨折创伤小,固定可靠,康复快,并发症少.值得推广。
Objective To investigate arthroscopic treatment of type Mason Ⅱ radial head fracture with Herbert screw fixation method and its clinical outcome. Methods 26 cases of type Mason Ⅱ radial head fracture were treated with arthroscopy-assisted reduction,Herbert screw fixation and early postoperative rehabilitation from October of 2009 to April of 2013 in our hospital. All patients were followed up and the flexion-extension ROM and rotation of the injured elbow were compared with that of the contralateral side. Elbow function was evaluated with Mayo Elbow Performance Score (MEPS). Results Flexion- extension ROM of injured elbows is(138.0±8.1)°and of contralateral side is(142.0±4.6)° ,rotation ROM of injured elbows is (142.8 ±10.5)° and contralateral side is (145.5±3.8)° There is no significant difference in elbow function between injured elbow and contralateral side (P 〉 0.05). Average MEPS of the injured elbow is 92.7. Elbow functions are excellent in 22 cases and good in 4. Conclusion Arthroscopy-assisted reduction and Herbert screw fixation is an effective treatment for type Mason Ⅱ radial head fractures with less trauma, sturdy fixation, less complication and rapid postoperative recovery.
出处
《中国运动医学杂志》
CAS
CSCD
北大核心
2013年第7期581-584,共4页
Chinese Journal of Sports Medicine