桡骨头切除与置换治疗MasonⅢ型桡骨头骨折的疗效对比分析

Comparative analysis of curative effects of resection and replacement of radial head in the treatment of MasonⅢ-type fractures of radial head

目的 分析桡骨头切除和人工桡骨头置换方法治疗桡骨头粉碎性骨折（MasonⅢ型）的临床疗效。方法 回顾分析2009年9月-2014年12月收治的32例桡骨头粉碎性骨折的临床资料,其中行桡骨头切除17例（切除组）,人工桡骨头置换15例（置换组）,平均随访10个月（6-18个月）。根据Broberg-Morrey评分系统、两组住院天数、住院费用等进行对比评价。结果 两组均获得满意疗效,两组活动度和功能评分相近。桡骨头切除组住院天数少,治疗费用低;置换组可早期重建肘关节,后期并发症少。结论 桡骨头切除与置换均可获得满意的疗效,桡骨头切除适合老年患者,年轻、功能要求高者应行桡骨头置换以减少远期并发症。

Objective To analyze and compare the clinical curative effects of resection and replacement of artificial ra- dial head in the treatment of comminuted fractures of radial head （Mason III-type）. Methods Clinical data of 32 pa- tients with eomminuted fractures of radial head from September 2009 to December 2014 were retrospectively analyzed. 17 patients were given the resection of radial head （resection group）,and 15 patients were given the replacement of arti- ficial radial head （replacement group）.The average follow-up period was 10 months （6-18 months）.According to Broberg- Morrey scoring system,length of stay and cost of hospitalization were compared and evaluated in the two groups. Re- sults Satisfactory curative effects could be obtained in the two groups,the scores of activity and functions in the two groups were similar.The length of stay in the resection group was shorter, and the treatment cost was lower,while re- placement group was able to reconstruct the elbow joint in early period,with fewer complications in later period. Con- clusion Resection and replacement of radial head are both able to obtain satisfactory curative effects.Resection of radi- al head is suitable for elder patients,while replacement of radial head is suitable for younger patients or those with higher requirements of functions as so to reduce long-term complications.