保守治疗单纯稳定的桡骨头骨折的临床疗效分析
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贵州省贵阳市第四人民医院 贵阳市骨科医院

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An Analysis on Clinical Effect of Conservative Treatment of Simple and Stable Radius Head Fracture
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1.The fourth people'2.'3.s hospital in Guiyang city, Guizhou province ,China

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    摘要:

    摘要:[目的] 探讨单纯稳定的桡骨头骨折保守治疗的策略及临床疗效。[方法] 回顾性分析我院自2014年3月至2016年9月收治的32例单纯桡骨头骨折的患者资料,男10例,女22例,年龄18-54岁,平均38.5岁。其中MasonⅠ型6例,MasonⅡ型16例,MasonⅢ型10例。所有患者均在伤后1小时至4日内就诊,平均42小时。均采用非手术治疗。 [结果] 32例获得随访,时间6至25个月,平均13个月。32例均获得骨愈合。疗效评价根据Mayo肘关节表现评分(MEPS):优31例,良1例,中0例,差0例,优良率100%。[结论] 单纯稳定的桡骨头骨折可通过非手术治疗获得一个满意的疗效,初期检查前臂旋转有无阻挡可作为判断是否手术的关键因素。伤后即刻的功能康复锻炼对恢复肘关节及前臂功能尤其重要,并不会增加骨折移位等并发症的发生风险。

    Abstract:

    ABSTRACT Objective This research aims to explore strategies and clinical treatment effect of conservation treatment of simple and stable radius head fracture. Methods A retrospective analysis on the information of 32 patients with simple radius head fracture received by our hospital between March 2014 and September 2016 is carried out. There are 10 cases of male patients and 22 cases of female patients?aged between 18 and 54 years old, with an average age of 38.5. Among them, there are 6 cases of Mason I, 16 cases of Mason II and 10 cases of Mason III. All the patients were treated within 1 hour to 4 days after injury, with an average of 42 hours, and they all received non-surgical treatment. Results 32 cases were followed up for 6 to 25 months, with an average of 13 months. The fracture of the 32 cases was all healed. Curative effect was assessed based on Mayo Elbow Performance Score (MEPS): The effect of 31 cases is excellent; that of 1 case is good; no case has medium effect or poor effect. Therefore, the excellent and good rate is 100%. Conclusion Non-surgical treatment of simple and stable radius head fracture can achieve a satisfactory curative effect and the early check of forearm rotation with or without obstruction can be used as a key factor to determine whether surgery is needed to be performed. Besides, functional rehabilitation exercise immediately after injury is particularly important for recovering functions of elbow joint and forearm and will not increase the risk of complications such as fracture displacement.

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  • 收稿日期:2019-02-13
  • 最后修改日期:2019-06-18
  • 录用日期:2019-07-01
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