引用本文:王洪涛,米 琨,刘 武,俸志斌.关节镜下桡骨头切除治疗成人MasonⅢ型桡骨头骨折的疗效分析[J].中国临床新医学,2013,6(5):433-435.
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关节镜下桡骨头切除治疗成人MasonⅢ型桡骨头骨折的疗效分析
王洪涛,米 琨,刘 武,俸志斌
530023 南宁,广西中医药大学第一附属医院骨二科
摘要:
[摘要] 目的 观察关节镜下桡骨头切除治疗MasonⅢ型桡骨头骨折的临床疗效。方法 采用关节镜下桡骨头切除治疗成人桡骨头骨折患者12例。结果 12例患者均获随访,随访时间6~18个月,平均10个月。肘关节轻度异位骨化1例,未发生肘关节不稳和桡神经损伤。按照Broberg和Morrey的肘关节评分标准,优10例,良2例。结论 关节镜下桡骨头切除治疗成人MasonⅢ型桡骨头骨折,避免了传统切开桡骨小头切除术并发症较多的缺点,可早期进行功能锻炼,是治疗成人桡骨头骨折的有效方法。
关键词:  桡骨头骨折  关节镜手术
DOI:10.3969/j.issn.1674-3806.2013.05.10
分类号:R 683.41
基金项目:
Arthroscopic resection of radial head for treatment of adult Mason Ⅲ radial head fracture
WANG Hong-tao, MI Kun,LIU Wu, et al.
Second Department of Orthopaedics, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023,China
Abstract:
[Abstract] Objective To observe the clinical effect of arthroscopic resection of radial head in the treatment of adult Mason Ⅲ radial head fracture.Methods Twelve patients with radial head fracture were treated with arthroscopic resection of radial head.Results All patients were followed up for 6~18 months with an average of 10 months. Mild elbow ectopic ossification was found in one patient. No elbow instability and radial nerve injury was found. According to Broberg-Morrey elbow function assessment standard of therapeutic effectiveness,Excellent effect was found in 10 patients, good in 2 patients.Conclusion Arthroscopic resection of radial head for treatment of adult Mason Ⅲ radial head fracture was less complications compared to traditional radial head resection,and can make more patients doing functional exercises early.It is an effective method for treatment of adult radial head fractures.
Key words:  MasonⅢ radial head fractures  Arthroscopic surgery