第三代可吸收棒治疗Mason-Ⅲ型桡骨头骨折35例的临床疗效分析

ANALYSIS OF CLINICAL CURATIVE EFFECT OF THE GENERATION Ⅲ ABSORBABLE RODS IN THE TREATMENT OF MASON TYPE Ⅲ RADIAL HEAD FRACTURES

目的探讨应用第三代可吸收棒治疗Mason-III型桡骨头骨折的临床疗效。方法选取我院2011年8月~2015年2月间收治的35例Mason-III型桡骨头骨折患者为研究对象,应用第三代可吸收棒交叉固定。术后石膏固定3~6周后,开始肘关节功能锻炼,按Broberg和Morrey的肘关节功能评分评价肘关节功能。结果随访6~18(11.3±5.6)个月,35例Mason-III型桡骨头骨折患者中:术后评分90.2±5.1,其中优23例,良10,中1例,差1例,优良率达94.28%。结论通过临床观察研究,应用第三代可吸收棒治疗Mason-III型桡骨头骨折可避免二次手术,是一种安全、有效的方法,具有较高的临床应用价值。

Objective：To assess the effect of generation Ⅲ absorbable rods in the treatment of Mason type Ⅲradial head fractures.Methods：From August 2011 to February 2015,35 patients with Mason type Ⅲ radial head fractures were treated with the third-generation absorbable rods and started to have functional exercise after cast immobilization for 3-6 weeks.Patient＇s functional status was evaluated according to Broberg Morrey elbow score standards.Results：The postoperative follow-up duration was 6-18（11.3 ± 5.6） months.For 35 cases of Mason type Ⅲ radial head fractures,the postoperative score is 90.2±5.1.Among these cases,the postoperative score was excellent in 23,good in 10,medium in 1and poor in 1.Total rate of excellent and good is 94.28%.Conclusion：The third-generation absorbable rods used in the treatment of Mason type Ⅲ radial head fractures are safety and effective,and don＇t need fixator removal surgery,which is considered a worthy cause in clinical practice.