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find Keyword "尺骨冠突" 3 results
  • OPERATIVE TREATMENT OF TERRIBLE TRIAD OF THE ELBOW JOINT

    Objective To explore the operation procedure and effectiveness of terrible triad of the elbow joint. Methods Between October 2006 and June 2010, 11 cases of closed terrible triad of the elbow joint were treated by operation. There were 8 males and 3 females with an average age of 32 years (range, 21-53 years). The mechanism of injury was fall ing from height in 4 cases and traffic accident in 7 cases. The time from injury to admission was 30 minutes to 9 days. According to Regan-Morrey classification for fractures of the ulnar coronoid, there were 5 cases of type I, 5 cases of type II, and 1case of type III; and according to Mason classification for fractures of the radial head, there were 4 cases of type I, 5 cases of type II, and 2 cases of type III. The elbow joint range of motion (ROM) was (63 ± 9)° at flexion and extension, and the forearm ROM was (71 ± 8)° at pronation and supination. All cases underwent reduction and fixation by lateral approach combined with medial approach according to McKeeps operation process. After operation, the affected l imb was immobil ized with plaster at elbow joint flexion of 90° and in forearm neutral position, then passive physical exercises were carried out, and finally active physical exercises were done after removing plaster at 4 weeks. Results All incisions healed by first intention. Eleven cases were followed up 7-27 months (14.5 months on average). The X-ray films showed good reduction, the cl inical heal ing time was 8-19 weeks with an average of 11 weeks. Mild ectopic ossification of the elbow joint occurred in 3 cases at 6 months after operation, mild degenerative change in 1 case at 18 months after operation. At last follow-up, the elbow joint ROM was (103 ± 14)° at flexion and extension, and the forearm ROM was (122 ± 13)° at pronation and supination, showing no significant difference when compared with the values of normal elbow joint (P gt; 0.05) and significant difference when compared with the preoperative values of affected elbow joint (P lt; 0.05). According to Mayo elbow performance score, the results were excellent in 5 cases, good in 5 cases, and fair in 1 case with an excellent and good rate of 90.9%. Conclusion The surgical treatment of terrible triad of the elbow joint can restore sufficiently elbow stabil ity, allow early motion postoperatively, and enhance the functional outcome.

    Release date:2016-08-31 05:44 Export PDF Favorites Scan
  • 解剖型尺骨鹰嘴钢板治疗尺骨鹰嘴合并冠突骨折

    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。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 应用解剖锁定钢板治疗O'DriscollⅡ型及Ⅲ型尺骨冠突骨折近期疗效

    目的总结解剖锁定钢板治疗O'DriscollⅡ、Ⅲ型尺骨冠突骨折的近期疗效。 方法2012年12月-2013年12月,采用解剖锁定钢板治疗11例尺骨冠突骨折患者。男7例,女4例;年龄23~68岁,平均41.2岁。致伤原因:摔伤6例,交通事故伤3例,高处坠落伤2例。根据O'Driscoll分型标准,Ⅱ型4例,Ⅲ型7例。合并尺侧副韧带损伤5例,尺神经损伤2例。受伤至手术时间2~8 d,平均4.2 d。 结果术后切口均Ⅰ期愈合。11例均获随访,随访时间6~18个月,平均12个月。X线片复查示,骨折均解剖复位并达骨性愈合,愈合时间6~10周,平均8周。末次随访时,肘关节屈伸活动度为112~145°,平均130°;前臂旋转116~148°,平均135°。Mayo肘关节功能评分为74~100分,平均87.8分;其中优6例,良4例,可1例,优良率90.9%。 结论采用切开复位解剖锁定钢板内固定治疗O'DriscollⅡ、Ⅲ型尺骨冠突骨折,固定强度佳,允许术后早期功能锻炼,肘关节功能恢复良好,并发症少。

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