中国组织工程研究

中国组织工程研究

• 生物材料临床实践 clinical practice of biomaterials • 上一篇    下一篇

生物可吸收张力带治疗尺骨鹰嘴骨折9例

魏  欣，孙贵新，李立钧，谭  军   

  1. 同济大学附属东方医院创伤外科，同济大学创伤研究所，上海市 200120
  • 出版日期:2010-02-19 发布日期:2010-02-19
  • 通讯作者: 孙贵新，博士，副主任医师，同济大学附属东方医院创伤外科，同济大学创伤研究所，上海市 200120 sunguixin@sina.com
  • 作者简介:魏 欣★，男，1972年生，上海市人，汉族，2001年复旦大学（附属华山医院）毕业，硕士，主治医师，主要从事手外科及生物材料在骨折中应用方面的研究。 weixin7218@hotmail.com
  • 基金资助:

    浦东新区优秀学科带头人培养资助计划项目(PWRD2008-9)。

Treatment of olecranon fracture with biodegradable tension band in 9 cases

Wei Xin, Sun Gui-xin, Li Li-jun, Tan Jun   

  1. Department of Traumatic Surgery, Shanghai East Hospital of Tongji University, Traumatic Institute of Tongji University, Shanghai  200120, China
  • Online:2010-02-19 Published:2010-02-19
  • Contact: Sun Gui-xin, Doctor, Associate chief physician, Department of Traumatic Surgery, Shanghai East Hospital of Tongji University, Traumatic Institute of Tongji University, Shanghai 200120, China sunguixin@sina.com
  • About author:Wei Xin★, Master, Attending physician, Department of Traumatic Surgery, Shanghai East Hospital of Tongji University, Traumatic Institute of Tongji University, Shanghai 200120, China weixin7218@hotmail.com
  • Supported by:

     the Fund for Excellent Young Academic Leader of Pudong New Area, No. PWRD2008-9*

PDF

322

被引次数

9

摘要：

背景：目前尺骨鹰嘴骨折治疗的方法最常采用的是钢板螺钉或克氏针张力带内固定，都需要二次手术取出内固定物。
目的：回顾性分析采用可吸收螺钉+可吸收缝线形成生物可吸收张力带治疗尺骨鹰嘴骨折的效果。
方法：2006-07/2009-04同济大学附属东方医院收治的尺骨鹰嘴骨折患者9例，均采用可吸收螺钉+可吸收缝线形成生物可吸收张力带治疗，术后辅以石膏外固定3周后行肘关节功能锻炼。随访12个月，根据X射线片和Mayo肘关节功能评分评定疗效。
结果与结论：9例患者术后影像学检查均愈合良好，骨折线模糊；Mayo肘关节功能评分优8例，良1例，未发生尺神经卡压症状；均未发生骨折或骨折端再移位现象。生物可吸收张力带治疗尺骨鹰嘴骨折可为患者早期功能锻炼提供足够的强度，具有固定效果好、无需二期手术取出内固定物的优点，是治疗尺骨鹰嘴骨折较理想的方法之一。

关键词: 尺骨鹰嘴骨折, 内固定, 肘关节, 可吸收螺钉, 可吸收缝线, 生物可吸收张力带, 生物医用可降解高分子材料

Abstract:

BACKGROUND: Internal fixations with plate and screw or K-wire tension band are widely used in treating olecranon fracture; however, the internal fixations need to remove by a second surgery.
OBJECTIVE: To retrospective analyze the therapeutic effect of treating olecranon fracture using biodegradable tension band.
METHODS: Nine olecranon fracture patients received at the Shanghai East Hospital of Tongji University from July 2006 to April 2009 were selected. All patients were treated by biodegradable tension band fixation which comprises absorbable screw and absorbable suture. Elbow joint functional exercises were performed at 3 weeks after plaster external fixation. The patients were followed up for 12 months, and the therapeutic effect was measured by X-ray films and Mayo score of elbow joint function.
RESULTS AND CONCLUSION: Imaging examination showed that the fracture healing well in all cases, and the fracture line was blurred. No ulnar nerve compression, fracture, or fracture displacement could be seen. Biodegradable tension band fixation can provide adequate intensity for functional exercises, which has the virtue of effective fixation without a second surgery to remove fixation. It is believed to be a good method for the treatment of olecranon fractures.

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