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[1]翟利鋒,陳億民,許樺,等.經(jīng)指伸肌劈開入路治療MasonⅡ型橈骨頭骨折[J].中醫(yī)正骨,2015,27(06):59-61.
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經(jīng)指伸肌劈開入路治療MasonⅡ型橈骨頭骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年06期
頁碼:
59-61
欄目:
臨床報道
出版日期:
2015-06-30

文章信息/Info

作者:
翟利鋒陳億民許樺畢大衛(wèi)
浙江省杭州市蕭山區(qū)第一人民醫(yī)院,浙江 杭州 311200
關(guān)鍵詞:
肘關(guān)節(jié) 橈骨骨折 指伸肌 骨間后神經(jīng)
摘要:
目的:探討經(jīng)指伸肌劈開入路治療MasonⅡ型橈骨頭骨折的臨床療效和安全性。方法:2010年6月至2013年12月,收治13例 MasonⅡ型橈骨頭骨折患者,男8例,女5例。年齡21~64歲,中位數(shù)34歲。左側(cè)6例,右側(cè)7例。跌倒摔傷6例、車禍傷4例、高處墜落 傷3例。受傷至手術(shù)時間3~12 d,中位數(shù)7 d。采用經(jīng)指伸肌劈開入路切開復(fù)位內(nèi)固定治療,術(shù)后采用美國特種外科醫(yī)院 (Hospital for Special Surgery,HSS)肘關(guān)節(jié)功能評價標(biāo)準(zhǔn)評定療效,并觀察記錄并發(fā)癥的發(fā)生情況。結(jié)果:13例患者均獲隨訪, 隨訪時間12~18個月,中位數(shù)15個月。術(shù)中未發(fā)生骨間后神經(jīng)和尺外側(cè)副韌帶損傷,術(shù)后未出現(xiàn)切口感染和骨化性肌炎等并發(fā)癥 。術(shù)后1例患者旋轉(zhuǎn)功能較差,考慮與骨折粉碎較重、功能鍛煉開始較晚有關(guān)。末次隨訪時按照HSS肘關(guān)節(jié)功能標(biāo)準(zhǔn)評定,優(yōu)7例、 良5例、一般1例。結(jié)論:經(jīng)指伸肌劈開入路既能充分顯露橈骨頭前部骨折塊,又能有效避免術(shù)中損傷尺外側(cè)副韌帶,是切開復(fù)位內(nèi) 固定治療MasonⅡ型橈骨頭骨折的一種安全有效的手術(shù)入路。

參考文獻(xiàn)/References:

[1] Kovar FM,Jaindl M,Thalhammer G,et al.Incidence and analysis of radial head and neck fractures[J].World J Orthop,2013,4(2):80-84.
[2] Inglis AE,Pellicci PM.Total elbow replacement[J].J Bone Joint Surg Am,1980,62(8):1252-1258.
[3] Johnston GW.A follow-up of one hundred cases of fracture of the head of the radius with a review of the literature[J].Ulster Med J,1962,31(1):51-56.
[4] Duckworth AD,Wickramasinghe NR,Clement ND,et al.Long-term outcomes of isolated stable radial head fractures[J].J Bone Joint Surg Am,2014,96(20):1716-1723.
[5] Miller G,Humadi A,Unni R,et al.Surgical management of Mason typeⅢradial head fractures[J].Indian J Orthop,2013,47(4):323-332.
[6] Bucholz RW,Heckman JD,Court-Brown C.洛克伍德-格林成人骨折[M].6版.裴國獻(xiàn),譯.北京:人民軍醫(yī)出版社,2009:849- 851.
[7] Cheung EV,Steinmann SP.Surgical approaches to the elbow[J].J Am Acad Orthop Surg,2009,17(5):325-333.
[8] 夏志鋒,白金廣,黃潤堂.切開復(fù)位微型鋼板螺釘內(nèi)固定治療成人橈骨小頭骨折[J].中醫(yī)正骨,2012,24(4):41-43.
[9] Imatani J,Ogura T,Morito Y,et al.Anatomic and histologic studies of lateral collateral ligament complex of the elbow joint[J].J Shoulder Elbow Surg,2000,8(6):625-627.
[10] Van Leeuwen DH,Guitton TG,Lambers K,et al.Quantitative measurement of radial head fracture location[J].J Shoulder Elbow Surg,2012,21(8):1013-1017.
[11] Desloges W,Louati H,Papp SR,et al.Objective analysis of lateral elbow exposure with the extensor digitorum communis split compared with the Kocher interval[J].J Bone Joint Surg Am,2014,96(5):387-393.
[12] Schimizzi A,MacLennan A,Meier KM,et al.Defining a safe zone of dissection during the extensor digitorum communis splitting approach to the proximal radius and forearm:an anatomic study[J].J Hand Surg Am,2009,34 (7):1252-1255.
[13] Guitton TG,Brouwer K,Lindenhovius AL,et al.Diagnostic accuracy of two-dimensional and three-dimensional imaging and modeling of radial head fractures[J].J Hand Microsurg,2014,6(1):13-17.
[14] 趙衛(wèi)俠,劉波,張鑫,等.綜合康復(fù)療法治療上肢骨折術(shù)后肘關(guān)節(jié)功能障礙[J].中醫(yī)正骨,2014,26(9):36-38.

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備注/Memo

備注/Memo:
2015-03-17收稿 2015-04-21修回
更新日期/Last Update: 2015-06-30