解剖型钢板和克氏针张力带钢丝治疗不同类型尺骨鹰嘴骨折的临床效果分析

Clinical effects analysis of anatomical plate and Kirschner′s tension-band wire in the treatment of different types of olecranon fractures

目的探讨解剖型钢板和克氏针张力带钢丝治疗不同类型尺骨鹰嘴骨折的临床效果。方法选择我院2010年2月~2016年6月收治的68例尺骨鹰嘴骨折的患者,按照随机数字表法分为研究组和对照组,各34例。研究组采用解剖型钢板内固定治疗方法,对照组采用克氏针张力带钢丝内固定治疗方法,比较两组的手术所需时间、术后骨折平均愈合时间、肘关节功能恢复情况。结果研究组的手术所需时间为(80.2±6.4)min,长于对照组的(64.3±4.1)min,差异有统计学意义(P<0.05)。研究组的术后骨折平均愈合时间为(3.4±0.2)个月,对照组的术后骨折平均愈合时间为(3.5±0.3)个月,两组比较差异无统计学意义(P>0.05)。研究组肘关节功能恢复的优良率为97.1%,显著高于对照组的73.5%,差异有统计学意义(P<0.05)。结论克氏针张力带钢丝内固定是比较简单并行之有效的治疗尺骨鹰嘴骨折的方法,而解剖型钢板内固定在治疗尺骨鹰嘴骨折方面的临床效果确切,有利于骨折复位,便于早期进行功能锻炼,同时降低了术后并发症的发生率。

Objective To explore the clinical effect of anatomical plate and Kirschner′s tension-band wire in the treatment of different types of olecranon fractures.Methods 68 patients with fractures of olecranon treated in our hospital from February 2010 to June 2016 were selected and randomly divided into the study group and the control group,34 patients in each group.Patients in the study group were treated by anatomical plate internal fixation,and patients in the control group were treated by Kirschner′ s tension-band wire internal fixation.The time required for the operation,the average healing time after operation,and the recovery condition of the elbow joint function were compared between the two groups.Results The time required for operation in the study group was（80.2 ±6.4） min,which was significantly longer than（64.3±4.1） min in the control group,with significant difference（P〈0.05）.The average healing time after operation was（3.4±0.2） months in the study group and（3.5 ±0.3） months in the control group,and the difference between the two groups was not statistically significant（P〉0.05）.The excellent and good rate of recovery condition of the elbow joint function in the study group was 97.1%,which was significantly higher than 73.5% in the control group with significant difference（P〈0.05）.Conclusion Kirschner′s tension-band wire internal fixation is a simple and effective method in the treatment of olecranon fractures,while anatomical plate fixation has definite clinical efficacy and is conducive to fracture reduction and early functional exercise,as well as reducing the incidence of postoperative complications.