[1]翟利锋,陈亿民,许桦,等.经指伸肌劈开入路治疗MasonⅡ型桡骨头骨折[J].中医正骨,2015,27(06):59-61.
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经指伸肌劈开入路治疗MasonⅡ型桡骨头骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年06期
页码:
59-61
栏目:
临床报道
出版日期:
2015-06-30

文章信息/Info

作者:
翟利锋陈亿民许桦毕大卫
浙江省杭州市萧山区第一人民医院,浙江 杭州 311200
关键词:
肘关节 桡骨骨折 指伸肌 骨间后神经
摘要:
目的:探讨经指伸肌劈开入路治疗MasonⅡ型桡骨头骨折的临床疗效和安全性。方法:2010年6月至2013年12月,收治13例 MasonⅡ型桡骨头骨折患者,男8例,女5例。年龄21~64岁,中位数34岁。左侧6例,右侧7例。跌倒摔伤6例、车祸伤4例、高处坠落 伤3例。受伤至手术时间3~12 d,中位数7 d。采用经指伸肌劈开入路切开复位内固定治疗,术后采用美国特种外科医院 (Hospital for Special Surgery,HSS)肘关节功能评价标准评定疗效,并观察记录并发症的发生情况。结果:13例患者均获随访, 随访时间12~18个月,中位数15个月。术中未发生骨间后神经和尺外侧副韧带损伤,术后未出现切口感染和骨化性肌炎等并发症 。术后1例患者旋转功能较差,考虑与骨折粉碎较重、功能锻炼开始较晚有关。末次随访时按照HSS肘关节功能标准评定,优7例、 良5例、一般1例。结论:经指伸肌劈开入路既能充分显露桡骨头前部骨折块,又能有效避免术中损伤尺外侧副韧带,是切开复位内 固定治疗MasonⅡ型桡骨头骨折的一种安全有效的手术入路。

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备注/Memo

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