中国骨伤2013，Vol.26Issue(2)：158-161,4.DOI:10.3969/j.issn.1003-0034.2013.02.019
前内侧面尺骨冠状突骨折的手术治疗策略
Internal fixation for the treatment of anteromedial facet fracture of the coronoid process of ulna
黄洪斌 1季向荣 1范顺武 2鲍丰1
作者信息
- 1. 义乌市中心医院骨科,浙江义乌322000
- 2. 浙江大学医学院附属邵逸夫医院骨科,浙江杭州 310008
- 折叠
摘要
Abstract
Objective: To investigate the effect of operative treatment for anteromedial facet fracture of the coronoid process of ulna,and to study its surgical exposures and fixation techniques. Methods:From March 2005 to March 2010,18 patients with anteromedial facet fracture of the coronoid process of ulna were treated with open reduction and internal fixation. There were 12 males and 6 females with an average age of 37.8 years. A single midline posterior incision was used to expose the entire elbow joint. After elevating the full-thickness skin flaps, a lateral incision was made to expose and repair the lateral collateral ligament. Three intervals in the flexor-pronator musculature were used to gain access to the coronoid, depending on the size of the fracture fragment and the planned fixation technique. Fractures were fixed by using mini-plate or with screws. The therapeutic effects were evaluated by Mayo Elbow Performance Score (MEPS) and system of Broberg & Morrey. Results:Seventeen patients were followed up,no patient complained pain and elbow unstable at a mean follow-up period of 38 months(1 to 6 years). The fractures were clinically healed at an average time of 11.6 weeks (ranged from 8 to 16 weeks). The average MEPS was 95.4±4.6 (ranged,82 to 100). The average functional rating of system of Broberg & Morrey was 92.3±5.8 (ranged,75 to 100). Conclusion: Open reduction and internal fixation is effective to reach anatomical reduction and strong fixation for the treatment of anteromedial facet fracture of the coronoid process of ulna.关键词
尺骨骨折/骨折固定术/肘关节Key words
Unlar fracture/Fracture fixation/Elbow joint引用本文复制引用
黄洪斌,季向荣,范顺武,鲍丰..前内侧面尺骨冠状突骨折的手术治疗策略[J].中国骨伤,2013,26(2):158-161,4.
