[1]何影浩 吴征杰.人工桡头置换术在肘关节恐怖三联征治疗中的应用研究[J].中国中医骨伤科杂志,2022,30(08):51-55.
　HE Yinghao WU Zhengjie.Clinical Research for Radial Head Replacement for Terrible Triad of the Elbow[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(08):51-55.
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人工桡头置换术在肘关节恐怖三联征治疗中的应用研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年08期
页码:
51-55
栏目:
临床研究
出版日期:
2022-08-15

文章信息/Info

Title:
Clinical Research for Radial Head Replacement for Terrible Triad of the Elbow
文章编号:
1005-0205(2022)08-0051-05
作者:
何影浩1 吴征杰1
1佛山市中医院(广东 佛山,528000)
Author(s):
HE Yinghao1 WU Zhengjie1
1Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong China.
关键词:
人工桡头置换;  肘关节恐怖三联征;  桡头骨折
Keywords:
radial head replacement;  terrible triad of the elbow;  radial head fracture
分类号:
R683.41
文献标志码:
A
摘要:
目的:探讨人工桡头置换术在肘关节恐怖三联征(MasonⅢ型桡头骨折)治疗中的有效性和安全性。方法:采用临床非随机对照试验的方法,自2019年1月至2021年1月在佛山市中医院住院治疗的肘关节恐怖三联征的患者中,选取符合标准的病例62例,分成桡头置换组(简称置换组,30例)和桡头可吸收棒内固定组(简称内固定组,32例)。对比两组手术时间、住院时间、Mayo 肘关节功能评分、肘关节屈伸活动角度、前臂旋转活动度、不良事件(切口感染、神经损伤、异位骨化、再脱位、复位不佳、固定失效、假体松动、骨性关节炎)等情况。结果:在住院时间、Mayo 肘关节功能评分的总分和活动度方面、肘关节屈伸活动角度、前臂旋转活动度方面,两组差异有统计学意义(P<0.05)。在手术时间、Mayo 肘关节功能评分的其他方面及不良事件方面,两组差异无统计学意义(P>0.05)。结论:人工桡头置换术在肘关节恐怖三联征(MasonⅢ型桡头骨折)治疗的短期随访中是有效和安全的。
Abstract:
Objective:To analyze the efficacy and safety of radial head replacement for terrible triad of the elbow(MasonⅢ radial head fracture).Methods:All cases(62 cases)were divided into two groups randomly.Contract group(30 cases)was on the treatment of radial head replacement.Control group(32 cases)was on the treatment of fixation with absorbable rods.And then,operation time,time of hospital stays,Mayo elbow function scores,elbow flexion and extension angle,forearm rotation range,and adverse events(incision infection,nerve injury,heterotopic ossification,dislocation,poor reduction,fixation failure,prosthesis loosening,osteoarthritis)were compared between the two groups.Results:There were significant differences between the two groups in terms of time of hospital stays,total scores and arc of motion on the Mayo elbow function scores,elbow flexion and extension angle,forearm rotation range of motion,and poor reduction in adverse events.There were no significant differences between the two groups in operation time,other aspects of the Mayo elbow function scores,or adverse events.Conclusion:Radial head replacement is effective and safe in the short-term follow-up of terrible triad of the elbow(MasonⅢ radial head fracture).

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备注/Memo

备注/Memo:
基金项目:广东省佛山市科技计划项目(2020001004877)
更新日期/Last Update: 2022-08-15