袢钢板治疗冠状突骨折临床疗效观察

发布时间：2018-03-02 08:01

本文关键词： 尺骨冠状突肘关节手术治疗袢钢板　出处：《西安医学院》2017年硕士论文　论文类型：学位论文

【摘要】：目的观察袢钢板技术治疗尺骨冠状突骨折的临床疗效,探讨袢钢板技术、微型钢板螺钉固定技术及非手术未固定方法治疗尺骨冠状突骨折的临床疗效对比。方法采用回顾性分析研究2013年6月至2016年6月在西安市红会医院创伤骨科住院治疗的冠状突骨折病例,按纳入与排除标准共筛选病例48例,按不同固定方式分为袢钢板技术组31例,微型钢板螺钉组10例,非手术未固定组7例,随访评估患者术后骨折复位情况、骨折愈合情况、并发症情况、肘关节活动度,以及Mayo肘关节功能评分。观察对比不同固定方式的临床疗效。结果袢钢板技术组,总共31例都达到解剖复位,未出现复位丢失,均达到骨性愈合,其中3例患者出现并发症,肘关节活动度19.37°-113.97°,肘关节MEPS功能评分,优30例,良1例。三组患者疗效对比分析显示,袢钢板技术组、微型钢板螺钉组和非手术未固定组三组之间骨折的解剖复位差异有统计学意义(P0.05),复位丢失差异有统计学意义(P0.05),骨折愈合差异没有统计学意义(P0.05),患者术后的并发症差异有统计学意义(P0.05),末次随访的肘关节伸直角度差异有统计学意义(P0.05),末次随访的肘关节屈曲角度差异有统计学意义(P0.05),末次随访的肘关节功能评分差异有统计学意义(P0.05)。结论袢钢板技术治疗冠状突骨折疗效较好,骨折解剖复位率高,骨折愈合良好,术后并发症发生率低,术后肘关节活动度良好,临床疗效优于微型钢板螺钉固定和非手术未固定。
[Abstract]:Objective to observe the clinical effect of loop plate technique in the treatment of fracture of coronal process of ulna, and to explore the technique of loop plate. The treatment of ulnar coronal process fracture with mini-plate screw fixation technique and non-operative unfixed method was compared. Methods retrospective study was conducted in the Department of Orthopedic Trauma of Xi'an Honghui Hospital from June 2013 to June 2016. For the treatment of coronal process fractures, According to the criteria of inclusion and exclusion, 48 cases were selected and divided into three groups: loop plate technique group (31 cases), mini-plate and screw group (10 cases) and non-operative unfixed group (7 cases). Complications, elbow motion, and Mayo elbow function score. The clinical effects of different fixation methods were observed and compared. Results in the loop plate technique group, 31 cases achieved anatomic reduction, no loss of reduction and bone healing. Among them, 3 cases had complications, the range of motion of elbow joint was 19.37 掳-113.97 掳, MEPS score of elbow joint was excellent in 30 cases and good in 1 case. There were significant differences in anatomical reduction and loss of reduction between the mini-plate screw group and the non-operative unfixed group (P 0.05), and the difference in fracture healing was not significant (P 0.05). The postoperative complications of the patients were not significant. The difference was statistically significant (P 0.05). There was significant difference in the angle of elbow joint extension at the last follow-up. There was significant difference in the angle of elbow flexion in the last follow-up (P 0.05), and there was significant difference in the function of elbow joint in the last follow-up. Conclusion the treatment of coronal process fracture with loop plate is effective. The rate of anatomical reduction of fracture was high, the fracture healed well, the incidence of postoperative complications was low, the movement of elbow joint was good after operation, and the clinical effect was better than that of mini-plate and screw fixation and non-operative fixation.
【学位授予单位】：西安医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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