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人工桡骨头置换治疗成人桡骨头粉碎性骨折的研究

沈彬 黄宇峰 马敏 蔡俊丰 李旭 赵卫东

同济大学学报(医学版)2012,Vol.33Issue(2):83-86,4.
同济大学学报(医学版)2012,Vol.33Issue(2):83-86,4.DOI:10.3969/j.issn1008-0392.2012.02.020

人工桡骨头置换治疗成人桡骨头粉碎性骨折的研究

Radial head replacement for comminuted fracture of radial head in adults

沈彬 1黄宇峰 1马敏 1蔡俊丰 1李旭 1赵卫东1

作者信息

  • 1. 同济大学附属东方医院骨科,上海200120
  • 折叠

摘要

Abstract

Objective To evaluate the early clinical effect of radial head replacement for comminuted fracture of radial head. Methods Eleven patients with comminuted fracture of radial head (classified as Mason M and IV) underwent radial head replacement from 2007 to 2010. The unipolar mental radial head prosthesis (LINK, Germany) was used for replacement. Elbow function was assessed by Broberg-Morrey elbow score. Results All cases were followed up for average 24. 5 months. The mean operation time was 104 min and mean blood loss was 180 ml. According to the Broberg-Morrey elbow score, 7 cases were excellent, 2 good, 1 fair and 1 worse. The average range of motion (ROM) of the elbow was 82. 3?to 161. 4?, maximum pronation of forearm was 60. 5?, maximum supination 74.3? No dislocation and infection was found in this group of patients. Conclusion Radial head replacement is an alternative procedure for comminuted radial head fracture with satisfactory early clinical efficacy.

关键词

桡骨头/骨折/假体置换术/肘关节

Key words

radial head/ fracture/ joint replacement/ elbow

分类

医药卫生

引用本文复制引用

沈彬,黄宇峰,马敏,蔡俊丰,李旭,赵卫东..人工桡骨头置换治疗成人桡骨头粉碎性骨折的研究[J].同济大学学报(医学版),2012,33(2):83-86,4.

同济大学学报(医学版)

OACSTPCD

1008-0392

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