本文關(guān)鍵詞： 尺骨 冠狀突 肘關(guān)節(jié) 手術(shù)治療 袢鋼板　出處：《西安醫(yī)學(xué)院》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的觀察袢鋼板技術(shù)治療尺骨冠狀突骨折的臨床療效,探討袢鋼板技術(shù)、微型鋼板螺釘固定技術(shù)及非手術(shù)未固定方法治療尺骨冠狀突骨折的臨床療效對(duì)比。方法采用回顧性分析研究2013年6月至2016年6月在西安市紅會(huì)醫(yī)院創(chuàng)傷骨科住院治療的冠狀突骨折病例,按納入與排除標(biāo)準(zhǔn)共篩選病例48例,按不同固定方式分為袢鋼板技術(shù)組31例,微型鋼板螺釘組10例,非手術(shù)未固定組7例,隨訪評(píng)估患者術(shù)后骨折復(fù)位情況、骨折愈合情況、并發(fā)癥情況、肘關(guān)節(jié)活動(dòng)度,以及Mayo肘關(guān)節(jié)功能評(píng)分。觀察對(duì)比不同固定方式的臨床療效。結(jié)果袢鋼板技術(shù)組,總共31例都達(dá)到解剖復(fù)位,未出現(xiàn)復(fù)位丟失,均達(dá)到骨性愈合,其中3例患者出現(xiàn)并發(fā)癥,肘關(guān)節(jié)活動(dòng)度19.37°-113.97°,肘關(guān)節(jié)MEPS功能評(píng)分,優(yōu)30例,良1例。三組患者療效對(duì)比分析顯示,袢鋼板技術(shù)組、微型鋼板螺釘組和非手術(shù)未固定組三組之間骨折的解剖復(fù)位差異有統(tǒng)計(jì)學(xué)意義(P0.05),復(fù)位丟失差異有統(tǒng)計(jì)學(xué)意義(P0.05),骨折愈合差異沒(méi)有統(tǒng)計(jì)學(xué)意義(P0.05),患者術(shù)后的并發(fā)癥差異有統(tǒng)計(jì)學(xué)意義(P0.05),末次隨訪的肘關(guān)節(jié)伸直角度差異有統(tǒng)計(jì)學(xué)意義(P0.05),末次隨訪的肘關(guān)節(jié)屈曲角度差異有統(tǒng)計(jì)學(xué)意義(P0.05),末次隨訪的肘關(guān)節(jié)功能評(píng)分差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論袢鋼板技術(shù)治療冠狀突骨折療效較好,骨折解剖復(fù)位率高,骨折愈合良好,術(shù)后并發(fā)癥發(fā)生率低,術(shù)后肘關(guān)節(jié)活動(dòng)度良好,臨床療效優(yōu)于微型鋼板螺釘固定和非手術(shù)未固定。
[Abstract]:Objective to observe the clinical effect of loop plate technique in the treatment of fracture of coronal process of ulna, and to explore the technique of loop plate. The treatment of ulnar coronal process fracture with mini-plate screw fixation technique and non-operative unfixed method was compared. Methods retrospective study was conducted in the Department of Orthopedic Trauma of Xi'an Honghui Hospital from June 2013 to June 2016. For the treatment of coronal process fractures, According to the criteria of inclusion and exclusion, 48 cases were selected and divided into three groups: loop plate technique group (31 cases), mini-plate and screw group (10 cases) and non-operative unfixed group (7 cases). Complications, elbow motion, and Mayo elbow function score. The clinical effects of different fixation methods were observed and compared. Results in the loop plate technique group, 31 cases achieved anatomic reduction, no loss of reduction and bone healing. Among them, 3 cases had complications, the range of motion of elbow joint was 19.37 擄-113.97 擄, MEPS score of elbow joint was excellent in 30 cases and good in 1 case. There were significant differences in anatomical reduction and loss of reduction between the mini-plate screw group and the non-operative unfixed group (P 0.05), and the difference in fracture healing was not significant (P 0.05). The postoperative complications of the patients were not significant. The difference was statistically significant (P 0.05). There was significant difference in the angle of elbow joint extension at the last follow-up. There was significant difference in the angle of elbow flexion in the last follow-up (P 0.05), and there was significant difference in the function of elbow joint in the last follow-up. Conclusion the treatment of coronal process fracture with loop plate is effective. The rate of anatomical reduction of fracture was high, the fracture healed well, the incidence of postoperative complications was low, the movement of elbow joint was good after operation, and the clinical effect was better than that of mini-plate and screw fixation and non-operative fixation.
【學(xué)位授予單位】：西安醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R687.3

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本文編號(hào)：1555682