中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (16): 3037-3040.doi: 10.3969/j.issn.1673-8225.2012.16.042

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

 
可吸收软骨钉治疗尺骨冠状突骨折

刘兆杰1, 2,胡永成1, 3   

  1. 1天津医科大学,天津市  300070;天津医院,2创伤骨科;  3骨肿瘤科,天津市  300211
  • 收稿日期:2012-01-16 修回日期:2012-02-28 出版日期:2012-04-15 发布日期:2012-04-15
  • 作者简介:刘兆杰,男,1979年生,天津市人,汉族,2003年天津医科大学毕业,医师,主要从事创伤骨科研究。viva.jie@ hotmail.com

Absorbable cartilage screws for treating fractures of the coronoid process of the ulna

Liu Zhao-jie1, 2, Hu Yong-cheng1, 3   

  1. 1Tianjin Medical University, Tianjin  300070, China; 2Department of Orthopedic Trauma, 3Department of Orthopedic Oncology, Tianjin Hospital, Tianjin  300211, China
  • Received:2012-01-16 Revised:2012-02-28 Online:2012-04-15 Published:2012-04-15
  • About author:Liu Zhao-jie, Physician, Department of Orthopedic Trauma, Tianjin Hospital, Tianjin 300211, China viva.jie@hotmail.com

摘要:

背景:O’Driscoll分型能够涵盖所有冠状突骨折,目前对其治疗原则基本一致,但固定方法选择颇多,尚无统一标准,临床疗效也存在一定差异。
目的:评估可吸收软骨钉治疗尺骨冠状突骨折的临床疗效。
方法:自2007-01/2010-01收治尺骨冠状突骨折24例,其中男18例,女6例,年龄16~47岁,平均30岁。冠状突骨折根据O’Driscoll分型,Ⅰ型4例,Ⅱ型14例,Ⅲ型6例。6例前侧入路,15例内侧入路,3例外侧入路,行切开复位可吸收软骨钉内固定,术中对关节囊及侧副韧带进行必要的修补重建。
结果与结论:随访时间18~30个月,所有骨折均达骨性愈合,愈合时间6~10周,平均8.2周。根据Morrey肘关节功能评定标准,优17例,良4侧,可2例,差1例,优良率为87.5%。固定后出现异位骨化3例,创伤性关节炎2例,肘关节不稳定2例。无感染、排异反应以及尺神经损伤病例发生。结果可见对于需手术治疗的尺骨冠状突骨折,可吸收软骨钉固定可以达到满意的治疗效果,同时可避免因二次手术取内植物可能造成的并发症。
 

关键词: 可吸收钉, 尺骨, 冠状突, 骨折固定术, 内, 治疗效果

Abstract:

BACKGROUND: All fractures of the coronoid process of the ulna can be involved in O'Driscoll classification. Treatments for fractures of the coronoid process of the ulna are basically consistent. However, the fixation methods are various leading to different clinical efficacies, and there are no uniform standards.
OBJECTIVE: To assess the clinical efficacy of absorbable cartilage screw in the treatment of fractures of the coronoid process of the ulna.
METHODS: From January 2007 to January 2010, 24 patients with fractures of the coronoid process of the ulna were reviewed, including 18 males and six females with an average age of 30 years (range from 16 to 47 years). According to O’Driscoll criterion, four cases were classified as I, 14 cases were classified as II and six cases as III. Open reduction and absorbable cartilage screw fixation were carried out through an anterior approach at six cases, medial approach at 15 cases and lateral approach at three cases. The ruptured capsule and collateral ligament were repaired and reconstructed.
RESULTS AND CONCLUSION: The mean follow-up period was 22.1 months (range from 18 to 30 months). All fractures healed in 6-10 weeks with an average time of 8.2 weeks. According to Morrey Elbow Performance Score, excellent was in 17 cases, good in four cases, fair in two cases and poor in one case. The complications included ectopic ossification in three cases, traumatic arthritis in two cases and elbow instability in two cases. Absorbable cartilage screw fixation is the excellent way to treat fractures of the coronoid process of the ulna with surgical indications, which can also avoid the complications through the second surgery.
 

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