中国组织工程研究Issue(13)：2031-2036,6.DOI:10.3969/j.issn.2095-4344.2014.13.011
桡骨小头置换与切开复位内固定：治疗粉碎性桡骨小头骨折谁更有优势？
Radial head replacement versus open reduction and internal fixation for comminuted radial head fractures:more advantageous?
王思成 1刘祥飞 1杨国庆 1张友忠 1赵震颖 1方阳 1何金国 1吴献民1
作者信息
- 1. 上海中冶职工医院骨科，上海市 200941
- 折叠
摘要
Abstract
BACKGROUND:At present, the methods of treating unstable comminuted radial head fractures contain open reduction and internal fixation and metal prosthesis replacement. There were success cases treated by the two methods, but some shortcomings simultaneously existed. <br> OBJECTIVE:To compare the clinical therapeutic effects of replacement of the radial head with metal prosthesis with open reduction and internal fixation for the treatment of unstable comminuted radial head fractures. <br> METHODS:A prospective randomized control ed analysis was performed in 45 cases of unstable comminuted radial head fractures. These cases received open reduction and internal fixation and metal prosthesis replacement. This study compared the Broberg and Morrey elbow joint function score and the incidence of complications after fixation, and performed statistical analysis. <br> RESULTS AND CONCLUSION:The subjects were fol owed up for 1-5 years, averagely 2.8 years. According to Broberg and Morrey scores, the average score was 90.1 and the incidence of complications was 13.6%in the prosthesis replacement group. The average score was 76.8 and the incidence of complications was 47.9%in the open reduction. Significant differences were visible between the two groups (P<0.01). Compared with the open reduction group, prosthesis replacement for unstable comminuted radial head fractures obtained better joint function and lower incidence of complications.关键词
植入物/人工假体/桡骨小头骨折/粉碎性,不稳定性/假体置换/切开复位内固定/前瞻性,随机对照Key words
radius/radius fractures/fractures, comminuted/internal fixators/elbow joint/prosthesis implantation分类
医药卫生引用本文复制引用
王思成,刘祥飞,杨国庆,张友忠,赵震颖,方阳,何金国,吴献民..桡骨小头置换与切开复位内固定：治疗粉碎性桡骨小头骨折谁更有优势？[J].中国组织工程研究,2014,(13):2031-2036,6.
