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桡骨小头置换术的临床治疗效果分析及研究

Keywords: 桡骨小头骨折,假体置换术,恐怖三联征

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Abstract:

目的探讨人工桡骨小头假体置换手术治疗桡骨小头粉碎性骨折的适应证、临床意义及其早期临床效果。方法自2007-2010年,我们对11例肘部不同创伤引起的桡骨小头骨折予以人工桡骨小头置换术。其中单纯桡骨小头粉碎性骨折3例,行单纯桡骨小头置换;孟氏骨折5例,在尺骨内固定后行桡骨小头置换;肘关节"恐怖三联征"3例,尺骨鹰嘴、冠状突固定后行桡骨小头置换。按Schatzker和Tile分型皆属于C型骨折。术后指导患者行正规肘关节康复功能锻炼。结果所有患者皆获得了随访,随访时间3~18个月,平均12个月。按Broberg标准对患肘关节功能进行评价优8例,良2例,差1例,优良率91%。结论对于Schatzker和TileC型桡骨小头骨折,使用人工桡骨小头假体置换可获得满意的近期临床效果。

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