桡骨头置换术治疗桡骨头严重粉碎性骨折.pdfVIP

Chinese Joumal of Bone and Joint ·腼照ie雷· 文意编号: 1674 咱 1439 (2010) 04 -0279-ω 挠骨头置换术治疗挠骨头严重粉碎性骨折 潘昭勋孙起张洪鑫程龙地 (解放军第 89 医院骨科关节外科，雄坊 261021) 摘要:目的探讨挽骨头置换术治疗幌骨头严重粉碎性骨折的疗娘。方法 2(脱年6 月 ~2刷刷月行幌骨头 置换术治疗6 例槐骨头严重粉碎性骨折患者，男4 例，女2 例:年龄M阳 36 岁，平均27.6 岁;均为Mason 皿型、 W 型。结果术后6 例患者全部获得随访，随访时间为4 -36 个月，平均27 个月。除 1 例患者活动时外侧有摩擦感、 轻度疼痛外，其余患者均恢复良好。按院附加rg-Morrey 评分标准进行结合评定，优4 例，良 1 例，可 1 例，楚。例， 平均93.8 分，患者满意度为1ω% 。结论 人工掘骨头置换术能够恢复肘关节的稳定性及活动度，是治疗梅骨头盼 碎性骨折的…种良好术式。 关键询:榄骨头:骨折;假体; j壁拽 中团分类号: R683.41 文献栋;:;t码 :A Radial head replacement in the treatment of severe comminuted radial head fracture Pan Zhaoxun , Sun Ch剧， Zhang Hon萨in , Zhai Longdi ( Department of Orthop舶dics ， No. 89 HOßpital of PLA , Weifang 261021 , China) Abs衍act: Objec创ve To investigate the effect of radial head arthroplasty in the treatment of severe comminuted ra- dial head fractull创.M创b叫s S以 patíents 叫由 Mason (type III or IV) comminuted radial head fracture were treated with radial head replacement and the outcome wωevaluated. R创uJts All出e 6 patients were followed up from 4 to 36 m刨出s (mean 27 months). Only 1 阳.tient acted with a sense of 刷ction outside and mild pain. The remaining patients had good recovery. According ωcomprehensive evaIuation of Broberg - Morrey 8core , excellent outcomes were in 4 c创例， good in 1, and fi创rin 1 cωe. The avem事:e score wω93. 8 and patient satisfactíon rate was 1∞%. Conclusion Radíal head re- placement can restore elbow stability and activity and ís a good operation for the radíal head comminuted fracture. Key words: RadiaI head; Fractures; 阶Osthesis; Replacement