[1]张学波,隋显玉,聂伟志△.新型可吸收锥头钉治疗桡骨头粉碎性骨折30例[J].中国中医骨伤科杂志,2024,32(06):90-92+96.[doi:10.20085/j.cnki.issn1005-0205.240618]
 ZHANG Xuebo,SUI Xianyu,NIE Weizhi.Report of 30 Cases of A Novel Absorbable Cone Nail in the Treatment of Comminuted Radial Head Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(06):90-92+96.[doi:10.20085/j.cnki.issn1005-0205.240618]
点击复制

新型可吸收锥头钉治疗桡骨头粉碎性骨折30例()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年06期
页码:
90-92+96
栏目:
临床报道
出版日期:
2024-06-15

文章信息/Info

Title:
Report of 30 Cases of A Novel Absorbable Cone Nail in the Treatment of Comminuted Radial Head Fracture
文章编号:
1005-0205(2024)06-0090-03
作者:
张学波1隋显玉2聂伟志2△
1安徽中医药大学(合肥,230031); 2山东省文登整骨医院
Author(s):
ZHANG Xuebo1SUI Xianyu2NIE Weizhi2△
1Anhui University of Chinese Medicine,Hefei 230031,China; 2Shandong Wendeng Osteopathic Hospital,Weihai 264400,Shandong China.
关键词:
桡骨头骨折 可吸收植入物 粉碎性骨折 骨折固定术
Keywords:
fracture of head of radius absorbable implants comminuted fracture fracture fixation
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.240618
文献标志码:
B
摘要:
目的:探究新型可吸收锥头钉治疗Schatzker-Tile Ⅲ型桡骨头粉碎性骨折的临床疗效。方法:选取2021年1月至2022年6月收治的30例运用新型可吸收锥头钉治疗的桡骨头粉碎性骨折患者并进行回顾性分析,采用Broberg-Morrey肘关节功能评分标准评定疗效,术后1年肘关节活动度与正常值比较。结果:所有患者均获随访,随访时间为1年。30例患者Broberg-Morrey评分为(91.27±7.04)分,优良率为90%。术后1年肘关节活动度与正常值相当,差异无统计学意义(P>0.05)。结论:新型可吸收锥头钉内固定治疗桡骨头粉碎性骨折,可以保留自体骨,愈合率高,功能恢复好,不需二次手术取出内固定物,创伤小,值得推广应用。
Abstract:
Objective:To investigate the clinical efficacy of a novel absorbable cone nail in the treatment of comminuted fracture of Schatzker-tile type Ⅲ radial head.Methods:A retrospective study was conducted on 30 patients with comminuted radial head fracture treated with a novel absorbable cone nail from January 2021 to June 2022.Results:All patients were followed up for 1 year.The Broberg-Morrey scores of 30 patients were(91.27±7.04)points,and the excellent rate was 90%.The range of motion of the elbow joint at 1 year after surgery was comparable to the normal value,and the difference was not statistically significant(P>0.05).Conclusion:The novel absorbable cone nail internal fixation treatment for comminuted radial head fracture can preserve the autologous bone,have a high healing rate,good functional recovery,no need for secondary surgery to remove the internal fixation,and has little trauma,which is worthy of promotion.

参考文献/References:

[1] 林世雄,胡力,蒋家润,等.切开复位内固定与假体置换治疗Mason Ⅲ、Ⅳ型桡骨小头骨折的疗效比较[J].中国医药指南,2023,21(12):70-72.
[2] YANG X,ZHUANG J,ZHI X S,et al.Outcomes of radial head fractures treated with pre-curved metacarpal plate[J].BMC Musculoskelet Disord,2023,24(1):437.
[3] HA C,LEE J K,KIM S,et al.Incidence and pattern of concurrent capitellum fracture associated with radial head and neck fractures[J].Orthop Traumatol Surg Res,2023,109(5):103531.
[4] KLUG A,GRAMLICH Y,WINCHERINGER D,et al.Epidemiology and treatment of radial head fractures:a database analysis of over 70 000 inpatient cases[J].J Hand Surg Am,2021,46(1):27-35.
[5] KUMAR P,JINDAL K,RAJNISH R K,et al.Excision versus replacement in unrepairable comminuted fractures of the radial head:a systematic review of outcomes and complications[J].Indian J Orthop,2022,56(8):1305-1315.
[6] CHEN H W,TIAN J L,ZHANG Y Z.Therapeutic effect of resection,prosthetic replacement and open reduction and internal fixation for the treatment of mason type Ⅲ radial head fracture[J].J Invest Surg,2021,34(1):30-38.
[7] MODEL Z,MERCHAN N,ROZENTAL T D,et al.Outcomes of radial head fractures treated with the “tripod technique”[J].J Hand Surg Am,2022,47(6):582.
[8] ADGÜZEL F,ORMAN O,ÜNKAR E A,et al.Comparing the outcomes of tripod technique and locked plate fixation for the treatment of Mason type 3 radial head fractures[J].Jt Dis Relat Surg,2023,34(3):716-723.
[9] BROBERG M A,MORREY B F.Results of delayed excision of the radial head after fracture[J].J Bone Joint Surg Am,1986,68(5):669-674.
[10] 张文广,刘文革,林敬富,等.不同置入物内固定治疗MasonⅡ、Ⅲ型桡骨头骨折的疗效分析[J].实用手外科杂志,2019,33(3):317-320.
[11] JU L,JIANG L,ZHANG Y,et al.Therapeutic analysis of Herbert screw fixation for capitellar fractures via the anterior approach in adolescent patients[J].J Orthop Surg Res,2021,16(1):394.
[12] HELMSTETTER T,MANIGLIO M,FORNACIARI P,et al.Open reduction and internal fixation of modified Mason type Ⅲ/Ⅳ radial head fractures with more than three fragments:an analysis of the clinical outcome and reoperation rate[J].Eur J Orthop Surg Traumatol,2023,34(2):1121-1130.
[13] 陈舒振,黄玉良,张理选.T形钢板联合Herbert螺钉内固定术治疗MasonⅢ型桡骨头骨折疗效及对围术期指标肘关节功能评分和并发症的影响[J].河北医学,2022,28(3):422-427.
[14] CHAIJENKIJ K,ARIRACHAKARAN A,KONGTHARVONSKUL J.Clinical outcomes after internal fixation,arthroplasty and resection for treatment of comminuted radial head fractures:a systematic review and network meta-analysis[J].Musculoskelet Surg,2021,105(1):17-29.
[15] SCOSCINA D,FACCO G,LUCIANI P,et al.Mason type Ⅲ fractures of the radial head:ORIF,resection or prosthetic replacement?[J].Musculoskelet Surg,2023,107(2):223-230.
[16] MIKEL A B,JAVIER A B,FAUSTO L M,et al.A retrospective comparative cohort study of radial head arthroplasty versus resection in complex elbow dislocations[J].Injury,2020,51(Suppl 1):S89-S93.
[17] 吴加东,卞化,孙焕建,等.MasonⅢ型桡骨头骨折桌面拼接固定与假体置换比较[J].中国矫形外科杂志,2021,29(2):110-113.
[18] VIVEEN J,KODDE I F,HEIJINK A,et al.Why does radial head arthroplasty fail today?A systematic review of recent literature[J].EFORT Open Rev,2020,4(12):659-667.
[19] 王思成,张友忠,杨国庆,等.可吸收棒与Herbert螺钉修复桡骨小头骨折:治疗效应及经济学的比较[J].中国组织工程研究,2014,18(26):4153-4157.
[20] 何振华,胡阿威,夏春明,等.微型钢板结合可吸收螺钉治疗Mason Ⅲ型桡骨头骨折[J].临床骨科杂志,2019,22(3):340-342.
[21] 陆剑锋,崔志浩,陆飞伟,等.三种植入物内固定修复MasonⅡ-Ⅲ型桡骨头骨折的比较[J].中国组织工程研究,2017,21(27):4330-4335.
[22] 向成浩,陈文革,蒋从斌,等.可吸收棒治疗MasonⅡ、Ⅲ型桡骨小头骨折临床疗效分析[J].生物骨科材料与临床研究,2015,12(5):27-30.
[23] HEIFNER J J,RIVERA DONES A E,WELLS A L,et al.The comparative performance of radial head prostheses in patients younger than and older than 50 years:a systematic review[J].JSES Rev Rep Tech,2022,3(1):49-55.
[24] WILTON A,PANANWALA H.Non-union of conservatively managed radial neck fractures in adults:a systematic review[J].Cureus,2022,14(11):e31957.
[25] 秦大平,张晓刚,宋敏,等.肘部骨折术后关节功能障碍的诊治预防策略研究进展[J].中华肩肘外科电子杂志,2019,7(4):376-382.
[26] MIYAMURA S,LANS J,MURASE T,et al.Degenerative changes in the elbow joint after radial head excision for fracture:quantitative 3-dimensional analysis of bone density,stress distribution,and bone morphology[J].J Shoulder Elbow Surg,2021,30(5):e199-e211.
[27] HACKL M,WEGMANN K,HOLLINGER B,et al.Surgical revision of radial head fractures:a multicenter retrospective analysis of 466 cases[J].J Shoulder Elbow Surg,2019,28(8):1457-1467.
[28] DEL CORE M A,KOEHLER D.Elbow arthritis[J].J Hand Surg Am,2023,48(6):603-611.
[29] SWENSEN S J,TYAGI V,UQUILLAS C,et al.Maximizing outcomes in the treatment of radial head fractures[J].J Orthop Traumatol,2019,20(1):15.
[30] TARALLO L,MUGNAI R,ROCCHI M,et al.Comparison between absorbable pins and mini-screw fixations for the treatment of radial head fractures Mason type Ⅱ-Ⅲ[J].BMC Musculoskelet Disord,2018,19(1):94.
[31] LEE C H,WOO S,CHOI H D.Results of the use of bioabsorbable magnesium screws for surgical treatment of Mason type Ⅱ radial head fractures[J].Clin Orthop Surg,2023,15(6):1013-1021.

备注/Memo

备注/Memo:
通信作者 E-mail:18663103927@163.com
更新日期/Last Update: 2024-06-15