解剖型尺骨鷹嘴鋼板治療尺骨鷹嘴合并冠突骨折_《華西醫學》

作者：

李程旭 , 范洪武 , 高天敏

豐都縣人民醫院骨外科（重慶豐都，408200）;

關鍵詞：

尺骨鷹嘴尺骨冠突骨折解剖型鋼板

DOI：

10.7507/1002-0179.20130502

視頻：

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目的　探討應用解剖型尺骨鷹嘴鋼板治療尺骨鷹嘴合并冠突骨折的內固定方法并評估其療效。方法　 2008年9月－2012年4月，運用解剖型尺骨鷹嘴鋼板治療11例尺骨鷹嘴伴冠突骨折患者，其中男9例，女2例；年齡24～68歲，平均39歲。結果　11 例均獲隨訪，隨訪時間6～40個月，平均22個月，X線片提示尺骨鷹嘴并冠突骨折全部愈合，肘關節功能按Cassebaum評分：優4例，良6例，可1例。無肘關節再脫位或半脫位、肘關節不穩及關節僵直發生。結論　尺骨鷹嘴伴冠突骨折是一種嚴重的關節內骨折，對無手術禁忌患者手術治療是首選。術中精確的骨折復位，切實有效的固定，良好的軟組織重建，以及術后早期的功能鍛煉是肘關節功能恢復的基礎。

引用本文： 李程旭 ,范洪武,高天敏. 解剖型尺骨鷹嘴鋼板治療尺骨鷹嘴合并冠突骨折. 華西醫學, 2013, 28(10): 1593-1596. doi: 10.7507/1002-0179.20130502 復制

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5.	陳欣志. 尺骨冠突骨折的治療[J]. 骨與關節損傷雜志, 2004, 19(11): 769.
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7.	Beingessner DM, Dunning CE, Stacpoole RA, et al. The effect of coronoid fractures on elbow kinematics and stability[J]. Clin Biomech (Bristol, Avon), 2007, 22(2): 183-190.
8.	Ring D. Fractures of the coronoid process of the ulna[J]. J Hand Surg, 2006, 31(10): 1679-1689.
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11.	Fyfe IS, Mossad MM, Holdsworth BJ. Methods of fixation of olecranon fractures. An experimental mechanical study[J]. J Bone Joint Surg Br, 1985, 67(3): 367-372.
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13.	King GJ, Lammens PN, Milne AD, et al. Plate fixation of comminuted olecranon fractures: an in vitro biomechanical study[J]. J Shoulder Elbow Surg, 1996, 5(6): 437-441.
14.	邴佩旭, 宋長福, 徐鋼. 重建鋼板治療尺骨鷹嘴合并冠突骨折的治療體會[J]. 中國矯形外科雜志, 2011, 19(10): 877-878.
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1. 　O’Driscoll SW, Jupiter JB, Cohen MS, et al. Difficult elbow fractures: pearls and pitfalls[J]. Instr Course Lect, 2003, 52(2): 113-134.
2. 　O’Driscoll SW, Jupiter JB, King GJ, et al. The unstable elbow[J]. Instr Course Lect, 2001, 50: 89-102.
3. 　王亦璁. 骨與關節損傷[M]. 北京: 人民衛生出版社, 2007: 847.
4. 　Fornalski S, Gupta R, Lee TQ. Anatomy and biomechanics of the elbow joint[J]. Tech Hand Up Extrem Surg, 2003, 7(4): 168-178.
5. 　陳欣志. 尺骨冠突骨折的治療[J]. 骨與關節損傷雜志, 2004, 19(11): 769.
6. 　Schneeberger AG, Sadowski MM, Jacob HA. Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow[J]. J Bone Joint Surg, 2004, 86-A(5): 975-982.
7. 　Beingessner DM, Dunning CE, Stacpoole RA, et al. The effect of coronoid fractures on elbow kinematics and stability[J]. Clin Biomech (Bristol, Avon), 2007, 22(2): 183-190.
8. 　Ring D. Fractures of the coronoid process of the ulna[J]. J Hand Surg, 2006, 31(10): 1679-1689.
9. 　Regan WD, Morrey BF. The elbow and its disorders[M]. 3rd ed. Philadelphia: WB Saunders, 2000: 396-408.
10. 　Ferenbaugh TL. Treatment of fracture of the olecranon by kirschner wire[J]. Nejm, 1937, 217(22): 872.
11. 　Fyfe IS, Mossad MM, Holdsworth BJ. Methods of fixation of olecranon fractures. An experimental mechanical study[J]. J Bone Joint Surg Br, 1985, 67(3): 367-372.
12. 　Hume MC, Wiss DA. Olecranon fractures. A clinical and radiographic comparison of tension band wiring and plate fixation[J]. Clin Orthop, 1992(285): 229-235.
13. 　King GJ, Lammens PN, Milne AD, et al. Plate fixation of comminuted olecranon fractures: an in vitro biomechanical study[J]. J Shoulder Elbow Surg, 1996, 5(6): 437-441.
14. 　邴佩旭, 宋長福, 徐鋼. 重建鋼板治療尺骨鷹嘴合并冠突骨折的治療體會[J]. 中國矯形外科雜志, 2011, 19(10): 877-878.
15. 　Cage DJ, Abrams RA, Callahan JJ, et al. Soft tissue attachments of the ulnar coronoid process. An anatomic study with radiographic correlation[J]. Clin Orthop, 1995(320): 154-158.

《華西醫學》

解剖型尺骨鷹嘴鋼板治療尺骨鷹嘴合并冠突骨折

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《華西醫學》

解剖型尺骨鷹嘴鋼板治療尺骨鷹嘴合并冠突骨折

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