[1]刘平 韦卓 孙文晓△ 魏优秀 杨盛力.成人MasonⅡ型桡骨小头骨折非手术与 微型钛钉治疗的疗效分析[J].中国中医骨伤科杂志,2013,21(06):35-36.
　LIU Ping WEI Zhuo SUN Wenxiao WEI Youxiu YANG Shenli.Comparison the Curative Effect between Conservative Method andSurgery Method with Micro Titanium Screw for the Treatment ofRadial Head Fracture of Mason TypeⅡ[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2013,21(06):35-36.
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成人MasonⅡ型桡骨小头骨折非手术与 微型钛钉治疗的疗效分析
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第21卷
期数:
2013年06期
页码:
35-36
栏目:
临床研究
出版日期:
2013-06-03

文章信息/Info

Title:
Comparison the Curative Effect between Conservative Method and Surgery Method with Micro Titanium Screw for the Treatment of Radial Head Fracture of Mason TypeⅡ
作者:
刘平1 韦卓1 孙文晓1△ 魏优秀1 杨盛力2
1华中科技大学同济医学院附属医院梨园医院手外科(武汉,430077) 2香港中文大学外科学系
Author(s):
LIU Ping1 WEI Zhuo1 SUN Wenxiao1 WEI Youxiu1 YANG Shenli2
1Department of Hand Surgery, Liyuan Hospital, TongJi Medical College, HuaZhong University of Science and Technology, Wuhan 430077, China 2Institute of Surgery, Graduate School, the Chinese University of Hong Kong
关键词:
桡骨小头;  骨折;  微型钛钉;  手术
Keywords:
Radial head;  Fractures;  Micro titanium screw;  Operation
摘要:
目的:比较研究微型钛钉手术治疗与非手术治疗MasonⅡ型桡骨小头骨折的疗效,为临床治疗该类骨折方式的选择提供参考。方法:对33例MasonⅡ型桡骨小头骨折进行治疗回顾,其中17例手术内固定治疗,16例非手术治疗。按照Broberg和Morrey的评定标准对两组肘关节进行功能评分。结果:全部病例获得随访,其中手术组17例,非手术组16例; 随访时间16～47个月,平均25个月。肘关节功能评分:手术组优9例,良7例,差1例,优良率为94.1%。非手术组优7例,良5例,差4例,优良率为75%.两组疗效比较差异有统计学意义(P<0.05)。结论:手术治疗MasonⅡ型桡骨小头骨折在关节活动、肌力和功能恢复方面较非手术治疗有明显优势。
Abstract:
To comparison the curative effect between the conservative method and surgery method with micro titanium screw for the treatment of radial head fractures of Mason type Ⅱ, and provide data for the clinical treatment. Methods:All 33 patients with radial head fractures of Mason type Ⅱwere retrospective analyzed. There were 17 cases treated by internal fixation, and 16 cases by conservative method. The function score of elbow was assessed according to the assessment criteria of Broberg and Monrrey. Results:All patients were followed-up for 16-47 months(25 months averagely). There were 9 excellent cases, 7 good cases, and 1 poor case in the operation group, and there were 7 excellent cases, 5 good cases, and 4 poor cases in the conservative group. The overall excellent and good rate was 94.1% and 75% respectively in the two groups(P<0.01). Conclusion:There are some obvious advantages of surgery method for treating radial head fractures of Mason type Ⅱ, such as functional recovery of joint mobility and muscle strength, compared with conservative method.

参考文献/References:

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更新日期/Last Update: 2013-06-03