解剖型尺骨鹰嘴钢板治疗尺骨鹰嘴合并冠突骨折_West China Medical Journal

Authors：

李程旭 , 范洪武 , 高天敏

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Keywords：

尺骨鹰嘴; 尺骨冠突; 骨折; 解剖型钢板

DOI：

10.7507/1002-0179.20130502

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目的　探讨应用解剖型尺骨鹰嘴钢板治疗尺骨鹰嘴合并冠突骨折的内固定方法并评估其疗效。方法　 2008年9月－2012年4月，运用解剖型尺骨鹰嘴钢板治疗11例尺骨鹰嘴伴冠突骨折患者，其中男9例，女2例；年龄24～68岁，平均39岁。结果　11 例均获随访，随访时间6～40个月，平均22个月，X线片提示尺骨鹰嘴并冠突骨折全部愈合，肘关节功能按Cassebaum评分：优4例，良6例，可1例。无肘关节再脱位或半脱位、肘关节不稳及关节僵直发生。结论　尺骨鹰嘴伴冠突骨折是一种严重的关节内骨折，对无手术禁忌患者手术治疗是首选。术中精确的骨折复位，切实有效的固定，良好的软组织重建，以及术后早期的功能锻炼是肘关节功能恢复的基础。

Citation： 李程旭 ,范洪武,高天敏. 解剖型尺骨鹰嘴钢板治疗尺骨鹰嘴合并冠突骨折. West China Medical Journal, 2013, 28(10): 1593-1596. doi: 10.7507/1002-0179.20130502 Copy

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13.	King GJ, Lammens PN, Milne AD, et al. Plate fixation of comminuted olecranon fractures: an in vitro biomechanical study[J]. J Shoulder Elbow Surg, 1996, 5(6): 437-441.
14.	邴佩旭, 宋长福, 徐钢. 重建钢板治疗尺骨鹰嘴合并冠突骨折的治疗体会[J]. 中国矫形外科杂志, 2011, 19(10): 877-878.
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1. 　O’Driscoll SW, Jupiter JB, Cohen MS, et al. Difficult elbow fractures: pearls and pitfalls[J]. Instr Course Lect, 2003, 52(2): 113-134.
2. 　O’Driscoll SW, Jupiter JB, King GJ, et al. The unstable elbow[J]. Instr Course Lect, 2001, 50: 89-102.
3. 　王亦璁. 骨与关节损伤[M]. 北京: 人民卫生出版社, 2007: 847.
4. 　Fornalski S, Gupta R, Lee TQ. Anatomy and biomechanics of the elbow joint[J]. Tech Hand Up Extrem Surg, 2003, 7(4): 168-178.
5. 　陈欣志. 尺骨冠突骨折的治疗[J]. 骨与关节损伤杂志, 2004, 19(11): 769.
6. 　Schneeberger AG, Sadowski MM, Jacob HA. Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow[J]. J Bone Joint Surg, 2004, 86-A(5): 975-982.
7. 　Beingessner DM, Dunning CE, Stacpoole RA, et al. The effect of coronoid fractures on elbow kinematics and stability[J]. Clin Biomech (Bristol, Avon), 2007, 22(2): 183-190.
8. 　Ring D. Fractures of the coronoid process of the ulna[J]. J Hand Surg, 2006, 31(10): 1679-1689.
9. 　Regan WD, Morrey BF. The elbow and its disorders[M]. 3rd ed. Philadelphia: WB Saunders, 2000: 396-408.
10. 　Ferenbaugh TL. Treatment of fracture of the olecranon by kirschner wire[J]. Nejm, 1937, 217(22): 872.
11. 　Fyfe IS, Mossad MM, Holdsworth BJ. Methods of fixation of olecranon fractures. An experimental mechanical study[J]. J Bone Joint Surg Br, 1985, 67(3): 367-372.
12. 　Hume MC, Wiss DA. Olecranon fractures. A clinical and radiographic comparison of tension band wiring and plate fixation[J]. Clin Orthop, 1992(285): 229-235.
13. 　King GJ, Lammens PN, Milne AD, et al. Plate fixation of comminuted olecranon fractures: an in vitro biomechanical study[J]. J Shoulder Elbow Surg, 1996, 5(6): 437-441.
14. 　邴佩旭, 宋长福, 徐钢. 重建钢板治疗尺骨鹰嘴合并冠突骨折的治疗体会[J]. 中国矫形外科杂志, 2011, 19(10): 877-878.
15. 　Cage DJ, Abrams RA, Callahan JJ, et al. Soft tissue attachments of the ulnar coronoid process. An anatomic study with radiographic correlation[J]. Clin Orthop, 1995(320): 154-158.

West China Medical Journal

解剖型尺骨鹰嘴钢板治疗尺骨鹰嘴合并冠突骨折

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