桡骨头前侧塌陷骨折行肘关节后外侧入路切开复位内固定的效果

The Front Line of the Radial Head Collapse of Elbow Joint Posterolateral Effect of Open Fracture Reduction and Internal Fixation

目的 观察桡骨头前侧塌陷骨折行肘关节后外侧路切开复位内固定效果。方法 选取我院2014年5月-2015年5月接收并治疗的123例桡骨头前侧塌陷骨折患者作为研究对象,将患者依据Mason实施分型,其中Ⅱ型患者92例,Ⅲ型患者31例。在肘关节后外侧入路的途径下实行切开复位,使用Herbert钉或太空心钉实行内固定。结果 经过术后随访,随访时间6-18个月,平均随访时间（11.5±1.3）个月;依据Morrey和Broberg对肘关节的功能进行评分,优20例,良93例,可10例,所有患者术后均未出现肘部感染、骨不连、创伤性关节炎、神经受损、肘关节不稳定等不良并发症,但患者术后的患侧关节活动范围和健侧对比较小。结论 临床上容易对桡骨前侧特点骨折出现漏诊的情况,使用肘关节后侧入路方式开展切开复位固定术能有效治疗此症状。

Objective To observe the anterior open reduction of radial head ifxation effect of posterolateral elbow fracture after the collapse.Methods 123 cases of radial head in front of our hospital from May 2014 to May 2015 to receive and treat the collapse fracture patients as the research object, the patients on the basis of Mason implementation, type II patients have 92 cases, 31 cases with type III. Open reduction was carried out in the way of the elbow joint after the lateral approach, and the use of Herbert nail or space screw ifxation.Results After postoperative follow-up, follow-up time 6-18 months, average （11.5±1.3） months, according to the Morrey score, and Broberg on the elbow function was excellent in 20 cases, good in 93 cases, fair in 10 cases, there were no cases of postoperative elbow infection, nonunion and traumatic arthritis, by the damaged elbow instability and other adverse complications, but ipsilateral joint activities of postoperative patients and healthy side of relatively small.Conclusion Clinical features of anterior fracture radius easy to misdiagnosis, using the posterior approach of elbow joint in open reduction and fixation can effectively treat the symptoms.