摘要
目的探讨带孔折断式克氏针张力带治疗成人尺骨鹰嘴骨折的疗效。方法采用回顾性病例对照研究分析2013年5月—2017年2月宁波市第六医院收治的56例成人尺骨鹰嘴骨折患者临床资料。24例接受带孔折断式克氏针张力带固定(A组),其中男16例,女8例;年龄(34.0±12.1)岁。Mayo分型:Ⅰ型7例,Ⅱ型17例。32例接受尺骨鹰嘴解剖钢板固定(B组),其中男19例,女13例;年龄(36.5±11.4)岁。Mayo分型:Ⅰ型15例,Ⅱ型17例。比较两组手术时间、术中出血量、透射次数、术后视觉模拟评分(VAS)、骨折愈合时间、内固定失效、皮肤激惹率及末次随访肘关节功能Broberg-Morrey评分等。结果患者均获随访15~21个月,平均18个月。A组手术时间、术中出血量、透射次数、骨折愈合时间、皮肤激惹分别为(79.6±22.5)min、(111.3±26.2)ml、(7.2±2.2)次、(3.7±0.6)个月、1例,B组分别为(94.3± 27.5)min、(152.0±31.4)ml、(11.0±3.4)次、(4.7±2.2)个月、9例,两组比较差异均有统计学意义(P<0.05)。两组术后VAS、内固定失效、末次随访肘关节功能Broberg-Morrey评分差异均无统计学意义(P>0.05)。结论与解剖型钢板比较,带孔折断式克氏针张力带固定治疗成人尺骨鹰嘴骨折,可缩短手术时间,减少术中出血量和透射次数,促进骨折愈合,尽可能避免术后皮肤激惹等并发症的发生。
Objective To investigate the clinical effect of perforated kirschner wire tension band in the treatment of olecranon fractures in adults.Methods A retrospective case control study was conducted on 56 adult patients with olecranon fractures admitted in Ningbo NO.6 Hospital from May 2013 to February 2017.The perforated Kirschner wire tension band fixation was used in Group A(n=24),while the common Kirschner wire tension band fixation was used in Group B(n=32).Group A was composed of 16 males and 8 females at age of(34.0±12.1)years,and Group B was composed of 19 males and 13 females at age of(36.5±11.4)years.According to the Mayo classification,there were 7 patients with type I and 17 with type II in Group A,15 with type I and 17 with type II in Group B.The operation time,bleeding volume,X transmission times,postoperative visual analogue score(VAS),fracture union time,loosening or failure of internal fixation,skin irritation and elbow joint function Broberg Morrey score were compared between the two groups.Results All patients were followed up for 15 21 months(mean,18 months).In Group A,the operation time,bleeding volume, Xray transmission times,fracture union time and skin irritation were(79.6±22.5)minutes,(111.3±26.2)ml,(7.2±2.2)times,(3.7±0.6)months,1 case,respectively.In Group B,the operation time,intraoperative hemorrhage,transmission times,fracture healing time and skin irritation were(94.3±27.5)minutes,(152.0±31.4)ml,(11.0±3.4)times,(4.7±2.2)months,9 cases,respectively.The difference between the two groups were all significant(P<0.05).There were no significant difference in VAS,failure of internal fixation and elbow function Broberg Morrey score between the two groups(P>0.05).Conclusions Compared with the anatomic plate,the perforated Kirschner wire tension band in the treatment of adult patients with olecranon fractures cannot only reduce the operation time and transmission times,reduce the intraoperative bleeding volume,but also shorten the fracture union time and avoid the occurrence of skin irritation and other complications.
作者
庄云强
张军
周龙
姜刚强
张亚弟
吴冀
戴力
Zhuang Yunqiang;Zhang Jun;Zhou Long;Jiang Gangqiang;Zhang Yadi;Wu Ji;Dai Li(Department of Orthopedics,Ningbo NO.6 Hospital,Ningbo 315040,China)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2020年第2期148-152,共5页
Chinese Journal of Trauma
关键词
尺骨骨折
骨板
骨折内固定术
内
Ulna fractures
Bone plates
Fracture fixation,internal
