[1]贾高永,潘浩△,胡庆丰,等.经Kaplan入路采用空心加压螺钉固定治疗Ⅱ型桡骨头骨折18例[J].中国中医骨伤科杂志,2022,30(11):59-62+66.
　JIA Gaoyong,PAN Hao,HU Qingfeng,et al.Efficacy of Kaplan Approach in Treating Mason Ⅱ Radial Head Fracture Treated by Hollow Compression Screw[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(11):59-62+66.
点击复制

经Kaplan入路采用空心加压螺钉固定治疗Ⅱ型桡骨头骨折18例()
分享到：

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

卷:
第30卷
期数:
2022年11期
页码:
59-62+66
栏目:
临床报道
出版日期:
2022-11-15

文章信息/Info

Title:
Efficacy of Kaplan Approach in Treating Mason Ⅱ Radial Head Fracture Treated by Hollow Compression Screw
文章编号:
1005-0205(2022)11-0059-04
作者:
贾高永1; 潘浩1△; 胡庆丰2; 胡劲涛1; 王栋1; 沈俊枫1; 邵荣学1
1浙江中医药大学附属杭州市中医院骨伤科(杭州,310003) 2浙江大学附属第四医院骨科
Author(s):
JIA Gaoyong1; PAN Hao1△; HU Qingfeng2; HU Jintao1; WANG Dong1; SHEN Junfeng1; SHAO Rongxue1
1Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou 310003, China; 2The Fourth Affiliated Hospital of Zhejiang University, Yiwu 322000, Zhejiang China.
关键词:
桡骨头骨折;  骨折分型;  手术入路;  切开复位内固定术
Keywords:
radial head fracture;  fracture classification;  operative approach;  open reduction and internal fixation surgery
分类号:
R683.41
文献标志码:
B
摘要:
目的:探讨分析应用经Kaplan入路采用Bold钉固定治疗Mason Ⅱ型桡骨头骨折的临床疗效。方法:回顾分析2019年9月至2021年3月,经Kaplan入路采用Bold钉固定治疗的18例桡骨头骨折(Mason Ⅱ型)患者临床资料。男10例,女8例; 年龄为22～62岁,平均为34岁; 左侧7例,右侧11例。采用Broberg和Morrey肘关节功能评分标准评定患者疗效。结果:术后所有患者伤口I/甲级愈合,均获得随访,术后随访6～12个月。优10例,良6例,可2例,优良率为88.9%。结论:经Kaplan入路采用Bold钉固定治疗Mason Ⅱ型桡骨头骨折,创伤较小,手术时间短,暴露更加方便,复位满意,取得了良好的临床疗效。
Abstract:
Objective:To observe the clinical efficacy of Kaplan approach in treating Mason Ⅱ type fractures of radial head by Bold screw.Methods:18 cases with Mason Ⅱ type of radial head fractures were treated by Kaplan approach from September 2019 to March 2021, including 10 males and 8 females, aged from 22 years old to 62 years old, with 34 years old on average.The curative efficacy was evaluated according to the Broberg and Morrey elbow scores system.Results:All the incisions primarily healed, and all the patients were followed up for 6 to 12 months.10 patients had an excellent result, 6 patients had a good result, 2 patients had a fair result, and the excellent and good rate was 88.9%.Conclusion:The Kaplan approach in treating Mason Ⅱ type radial head fracture by Bold screw is good, which has advantages of less trauma, short operation time, more convenient exposure, satisfactory reduction, and better clinical efficacy.

参考文献/References:

[1] AL-TAWIL K,ARYA A.Radial head fractures[J].J Clin Orthop Trauma,2021,20:101497.
[2] 张睿,雷毅豪,贾进,等.难复性桡骨头粉碎性骨折治疗方法应用进展[J].山东医药,2021,61(12):103-107.
[3] 王磊,周道清,陈昌义,等.微型钢板内固定联合On-table技术治疗Mason Ⅲ、Ⅳ型桡骨头骨折[J].中国骨与关节损伤杂志,2022,37(1):93-95.
[4] 吴京亮,魏志凌,魏更生,等.无头加压螺钉交叉固定与“三脚架”式固定治疗Mason Ⅱ型桡骨头及桡骨颈骨折[J].中国骨与关节损伤杂志,2021,36(7):756-757.
[5] 贾高永,潘浩,胡庆丰,等.切开复位Bold钉内固定治疗MasonⅡ、Ⅲ型桡骨头骨折[J].中医正骨,2016,28(12):49-51.
[6] 田旭,东靖明.桡骨头骨折的诊疗策略[J].中华骨科杂志,2022,42(4):251-257.
[7] BROBERG M A,MONEY B F.Results of delayed excision of the radial head after fracture [J].J Bone Joint Surg Am,1986,68(5):669-674.
[8] 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.
[9] 李长润,李庭.桡骨头骨折非手术治疗研究进展[J].中华骨与关节外科杂志,2021,14(3):235-240.
[10] 袁伟,王明鹤,代耀军,等.桡骨头切除术与人工假体置换术治疗MasonⅢ型桡骨头骨折的效果比较[J].中国实用医刊,2021,48(3):46-49.
[11] 王维光,刘万军,王振海,等.不同内固定方法治疗Mason Ⅱ型桡骨头骨折临床效果的对比研究[J].中国矫形外科杂志,2009,17(22):1700-1703.
[12] 王磊,周道清,陈昌义.微型钢板内固定联合On-table技术治疗MasonⅢ、Ⅳ型桡骨头骨折[J].中国骨与关节损伤杂志,2022,37(1):93-95.
[13] 樊伟,衡立松,宋哲,等.钢板合并埋头钉治疗粉碎型Mason Ⅲ、Ⅳ型桡骨头骨折的疗效分析[J].骨科,2021,12(6):559-562.
[14] 祁义民,曾逸文,赵磊,等.切开复位钢板内固定治疗桡骨头骨折[J].临床骨科杂志,2021,24(2):251-256.
[15] 贾高永,潘浩,张勇,等.Bold钉和微型钢板治疗MasonⅡ、Ⅲ型桡骨头骨折的临床疗效比较[J].浙江医学,2017,39(10):831-835.
[16] 张细祥,郭颖彬,肖良秀,等.交叉螺钉固定技术在桡骨颈骨折治疗中的应用15例[J].中国中医骨伤科杂志,2020,28(4):62-65.
[17] 韩俊柱,朱勋兵,郭成,等.劈指总伸肌入路可吸收棒内固定与Kocher入路钢板内固定治疗MasonⅢ型桡骨头骨折的疗效比较[J].实用医学杂志,2021,37(10):1371-1374.
[18] VIVEEN J,PERILLI E,JAARSMA R L,et al.Regional differences in the three-dimensional bone microstructure of the radial head:implications for observed fracture patterns[J].Arch Orthop Trauma Surg,2022,142(1):165-174.
[19] KAPLAN E B.Surgical approaches to the proximal end of the radius and its use in fractures of the head and the neck of the radius[J].J Bone Joint Surg Am,1941,23:86-92.
[20] BARNES L F,LOMBARDI J,GARDNER T R,et al.Comparison of exposure in the kaplan versus the kocher approach in the treatment of radial head fractures[J].Hand(N Y),2019,14(2):253-258.
[21] PEACH C,STANLEY D.Surgical approaches to the elbow[J].Orthopaedics and Trauma,2012,26(5):297-302.
[22] 宁凡友,许海燕,赵子龙,等.Herbert钉内固定治疗Mason-Johnston Ⅲ、Ⅳ型桡骨头骨折的疗效分析[J].中国骨与关节损伤杂志,2021,36(3):313-314.

备注/Memo

备注/Memo:
△通信作者 E-mail:harper1966@163.com
更新日期/Last Update: 2022-11-10