Dubberley B型肱骨小头骨折开放复位联合内固定
作者:
作者简介:

王传鑫,硕士研究生,研究方向:运动创伤骨科基础与临床研究,(电话)17862968262,(电子信箱)916369320@qq.com

中图分类号:

R683.41

基金项目:

中国博士后科学基金第 68 批面上资助二等项目(编号:2020M682220);中国博士后科学基金第 14 批特别资助项目(编号:2021T140423);山东中医药大学附属医院青年创新团队项目支持,人才计划:齐鲁卫生与健康杰出青年人才培养工程;山东省自然科学基金面上项目(编号:ZR2021MH071);泰山学者工程专项经费资助项目(编号:tsqn202211350)


Open reduction and combined internal fixations for Dubberley type B capitellum fractures
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    摘要:

    [目的]探讨微型钢板联合埋头钉、克氏针固定 Dubberley B 型肱骨小头骨折的临床疗效。[方法]回顾性分析 2016 年 3 月—2019 年 8 月本院收治的 13 例 DubberleyB 型肱骨小头骨折患者的临床资料。选择肘关节外侧入路并采用微型钢板联合埋头钉及克氏针固定。[结果]手术均完成顺利,无严重医源性损伤发生。平均随访时间(17.5±2.7)个月。恢复患肢完全持重活动时间为 (15.3±1.6) 周。随时间的推移,13 例患者 VAS 评分显著下降 (P<0.05),肘伸屈 ROM 和 MEPS 评分显著提升 (P<0.05)。术后影像显示,12 例解剖复位;1 例骨折移位<2 mm,不伴成角或旋转移位。末次随访所有患者均达骨折愈合,无骨块移位,2 例轻度骨性关节炎,1 例异位骨化并发症。[结论] 采用锁定钢板联合埋头钉及克氏针联合固定可有效治疗 Dub- berleyB 型肱骨小头骨折。

    Abstract:

    [Objective] To investigate the clinical outcomes of mini plate combined with countersunk screws and Kirschner wire for Dubberley type B capitellum fractures. [Methods] A retrospective study was done on 13 patients who received surgical treatment for Dub- berley type B capitellum fractures in our hospital from March 2016 to August 2019. All patients underwent open reduction and internal fixa- tion with mini plate combined countersunk screws and Kirshner wires through lateral approach. The clinical and imaging consequences were observed. [Results] All the patients had operation completed successfully without serious iatrogenic injuries, and followed up for (17.5±2.7) months on an average with time to resume full weight activity of the affected limb of (15.3±1.6) weeks. The VAS score decreased significantly (P<0.05), whereas elbow extension-flexion ROM and MEPS scores significantly increased in all the 13 patients (P<0.05). Post- operative images showed anatomical reduction in 12 cases, and displacement less than 2 mm without angulation or rotation in one case. At latest follow-up, all patients achieved fracture healing without further displacement of bone fragment, whereas 2 patients had mild osteoar- thritis, and one patient had heterotopic ossification. [Conclusion] Mini plate combined with countersunk screw and Kirschner wires does ef- fectively fix Dubberley type B humeral capitellum fracture.

    参考文献
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王传鑫,马亮,李景银,等. Dubberley B型肱骨小头骨折开放复位联合内固定[J]. 中国矫形外科杂志, 2023, 31 (10): 941-944. DOI:10.3977/j. issn.1005-8478.2023.10.17.
WANG Chuan- xin, MA Li? ang, LI Jing-yin, et al. Open reduction and combined internal fixations for Dubberley type B capitellum fractures[J]. Orthopedic Journal of China , 2023, 31 (10): 941-944. DOI:10.3977/j. issn.1005-8478.2023.10.17.

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  • 收稿日期:2021-09-09
  • 最后修改日期:2022-08-16
  • 在线发布日期: 2023-05-24