[1]丰瑞兵,王华松,庞炯宇,等.锁定钢板加克氏针埋头技术（Lost K-wire）治疗伴关节面塌陷的尺骨鹰嘴骨折的临床研究[J].中华老年骨科与康复电子杂志,2020,(06):334-339.[doi:10.3877/cma.j.issn.2096-0263.2020.06.004]
　Feng Ruibing,Wang Huasong,Pang Jiongyu,et al.Treatment of ulna-olecranon fractures with articular surface collapse with a locking plate plus Lost K-wire technique[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2020,(06):334-339.[doi:10.3877/cma.j.issn.2096-0263.2020.06.004]
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锁定钢板加克氏针埋头技术（Lost K-wire）治疗伴关节面塌陷的尺骨鹰嘴骨折的临床研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2020年06期
页码:
334-339
栏目:
骨与创伤
出版日期:
2020-12-05

文章信息/Info

Title:
Treatment of ulna-olecranon fractures with articular surface collapse with a locking plate plus Lost K-wire technique
作者:
丰瑞兵1; 王华松2; 庞炯宇2; 姜壮2; 蔡贤华1
430060 武汉，湖北中医药大学针灸骨伤学院；430070 武汉，中部战区总医院骨科
Author(s):
Feng Ruibing1;  Wang Huasong2;  Pang Jiongyu2;  Jiang Zhuang2;  Cai Xianhua1
1College of Acupuncture and Bone Injury, Hubei University of Traditional Chinese Medicine, Wuhan 430060, China; 2Department of Orthopedics, General Hospital of Central Theater Command, Wuhan 430060, China
关键词:
接骨板;  骨针;  骨折固定术; 内;  尺骨骨折
Keywords:
Bone plates;  Bone wires;  Fracture fixation;  internal;  Ulna fractures
DOI:
10.3877/cma.j.issn.2096-0263.2020.06.004
文献标志码:
A
摘要:
目的 探讨锁定钢板加克氏针埋头技术（Lost K-wire）治疗伴关节面塌陷的尺骨鹰嘴骨折的临床疗效。方法 回顾性分析2016年6月至2019年01月中国人民解放军中部战区总医院收治的采用锁定钢板加Lost K-wire技术治疗的18例伴关节面塌陷的尺骨鹰嘴骨折患者的临床资料，其中男性12例，女性6例；年龄22～62岁，平均（35±8）岁；运动伤6例，交通伤8例，摔伤3例，坠落伤1例。根据患者末次随访的肘关节活动范围和肘关节Broberg&Morrey评分标准对患者进行疗效评价。结果 18例患者均获至少6个月，平均（10±5）个月的随访，所有患者手术切口均Ⅰ期愈合，未见伤口感染，神经血管损伤、肘关节僵硬等并发症，无患者发生骨折复位丢失，所有患者骨折均骨性愈合，愈合时间12～24 w，平均（17±4）w。末次随访肘关节屈伸活动范围90°～150°，平均（118±22）°，前臂旋转活动范围150°～180°，平均（160±11）°。末次随访肘关节Broberg&Morrey评分75～100分，平均（93±6）分，优13例，良4例，可1例，优良率94.44%。结论 锁定钢板加Lost K-wire技术治疗伴关节面塌陷的尺骨鹰嘴骨折能有效复位并维持塌陷关节面的平整及稳定性，有利于患者早期功能锻炼，术后疗效确切，是该类型骨折一种可靠的治疗选择。
Abstract:
Objective To evaluate the clinical effect of the locking plate plus Lost K-wire technique in the treatment of olecranon fractures with joint surface collapse. Methods The clinical data of 18 cases of ulna olecranon fracture with joint surface collapse in our hospital from June 2016 to January 2019 were retrospectively analyzed, including 12 males and 6 females; aged from 22 to 62 years, with an average of (35±8) years, 6 cases of sports injuries. 8 cases of traffic injury, 3 cases of injury and 1 case of falling injury. The patient was evaluated for efficacy based on the elbow joint activity range and the elbow joint Broberg&Morrey score criteria for the patient’s last follow-up. Results All the 18 patients were followed up for at least 6 months. All the patients healed in one stage. No complications such as wound infection, neurovascular injury, elbow stiffness and so on were found. No fracture reduction loss occurred in all patients. The fracture healing time was 12-24 weeks, with an average of 17±4 weeks. The range of flexion and extension of elbow joint was 90 °-150 °, the average was (118±22) °, and the range of rotation of forearm was 150 °-180 °, with an average of (160±11)°. The Broberg&Morrey score of elbow joint was 75-100 points, with an average of (93±6) points, excellent in 13 cases, good in 4 cases and fair in 1 case. The excellent and good rate was 94.44%. Conclusion Locking plate plus Lost K-wire technique can effectively reduce and maintain the smoothness and stability of the collapsed joint surface, which is beneficial to the early functional exercise of the patients. The postoperative curative effect is accurate, and it is a reliable choice for the treatment of this type of fracture.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：湖北省卫计委医药科研项目（WJ2018H0069）
更新日期/Last Update: 2020-12-31