前外侧钢板联合螺钉治疗肘关节尺骨冠状突骨折的观察分析

Analysis of anterolateral plate combined with screws in the treatment of elbow ulna coronoid fracture

目的分析肘关节尺骨冠状突骨折采用前外侧钢板联合螺钉治疗的临床效果。方法选取我院收治的12例肘关节尺骨冠状突骨折患者作为研究对象,均采用前外侧钢板联合螺钉治疗方法。采用MEPS和DASH评分评价临床效果。结果术后患者关节屈曲角度为(127.3°±7.4°),伸直角度为(9.1°±3.2°),DASH肘关节功能评分显示:肘部疼痛的缓解率为91.67%,活动时肘部疼痛的缓解率为91.67%,肘部麻木的缓解率为83.33%,肘部无力的缓解率为83.33%,肘部僵硬的缓解率为100.00%,肘部疼痛影响睡眠的缓解率为75.00%,肘部障碍缺乏自信的缓解率为75.00%。MEPS评分结果显示:肘关节疼痛缓解率为83.33%,限制运动缓解率为75.00%,内外翻不稳缓解率为91.67%。肘关节后内侧不稳定的发生率为41.67%,骨折不愈合的发生率为25.00%,关节僵硬的发生率为33.33%。结论前外侧钢板联合螺钉治疗肘关节尺骨冠状突骨折临床效果好,值得推广。

Objective To analyze the clinical effects of anterolateral plate combined with screws in the treatment of el- bow ulna eoronoid fracture. Methods Twelve cases of elbow ulna coronoid fracture in our hospital were selected as research objects, and all the patient were treated with anterolateral plate combined with screws. The clinical effects were evaluated by MEPS and DASH scores. Results After surgery, the joint flexion angle and extension angle were （127.3°±7.4°）and （9.1°±3.2°）. The DASH elbow function score showed that the remission rates of elbow pain, elbow pain during exercise, elbow numbness, elbow weakness, elbow stiff, elbow pain affects sleep, elbow disorders lack confidence were 91.67%, 91.67%, 83.33%, 83.33%, 100.00%, 75.00%, 75.00%. The MEPS elbow function score showed that the remission rates of elbow pain, limited exercise, internal and external inversion instability were 83.33%, 75.00%, 91.67%. The incidence of posterior medial instability of elbow joint was 41.67%, the incidence of nonunion and joint stiffness were 25.00% and 33.33%. Conclusion The effect of anterolateral plate combined with screws in the treatment of elbow ulna coronoid fracture is good, which is worth popularizing.