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华西医学  2013 

解剖型尺骨鹰嘴钢板治疗尺骨鹰嘴合并冠突骨折

DOI: 10.7507/1002-0179.20130502, PP. 1593-1596

Keywords: 尺骨鹰嘴,尺骨冠突,骨折,解剖型钢板

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Abstract:

目的 探讨应用解剖型尺骨鹰嘴钢板治疗尺骨鹰嘴合并冠突骨折的内固定方法并评估其疗效。方法 2008年9月-2012年4月,运用解剖型尺骨鹰嘴钢板治疗11例尺骨鹰嘴伴冠突骨折患者,其中男9例,女2例;年龄24~68岁,平均39岁。结果 11例均获随访,随访时间6~40个月,平均22个月,X线片提示尺骨鹰嘴并冠突骨折全部愈合,肘关节功能按Cassebaum评分优4例,良6例,可1例。无肘关节再脱位或半脱位、肘关节不稳及关节僵直发生。结论 尺骨鹰嘴伴冠突骨折是一种严重的关节内骨折,对无手术禁忌患者手术治疗是首选。术中精确的骨折复位,切实有效的固定,良好的软组织重建,以及术后早期的功能锻炼是肘关节功能恢复的基础。

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