| 引用本文： |
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沈彬,黄宇峰,马敏,等.人工桡骨头置换治疗成人桡骨头粉碎性骨折的研究[J].同济大学学报（医学版）,2012,33(2):83-86. [点击复制]
- SHEN Bin,HUANG Yu-feng,MA Min,et al.Radial head replacement for comminuted fracture of radial head in adults[J].Journal of Tongji University(Medical Science),2012,33(2):83-86. [点击复制]
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| 摘要: |
| 目的 探讨桡骨头粉碎性骨折行人工桡骨头置换的早期疗效。方法 回顾性分析2007-2010年,11例桡骨头粉碎骨折患者应用LINK单极金属桡骨头置换假体行人工桡骨头置换术的疗效.肘关节功能以BrobergMorrey肘关节功能评分进行评定。结果 随访时间平均24.5个月.本组平均手术时间104 min,平均失血量180ml。肘关节评分:优7例,良2例,可1例,差1例,肘关节屈伸范围82.3°~161.4°,前臂最大旋前60.5°,最大旋后74.3°,无脱位及感染发生。结论 人工桡骨头置换治疗桡骨头粉碎性骨折简便易行,早期临床效果良好。 |
| 关键词: 桡骨头 骨折 假体置换术 肘关节 |
| DOI：10.3969/j.issn1008-0392.2012.02.020 |
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| Radial head replacement for comminuted fracture of radial head in adults |
| SHEN Bin,HUANG Yu-feng,MA Min,CAI Jun-feng,LI Xu,ZHAO Wei-dong |
| (Dept.of Orthopedic,East Hospital,Tongji University,Shanghai 200120,China) |
| Abstract: |
| Objective To evaluate the early clinical effect of radial head replacement for comminuted fracture of radial head.Methods Eleven patients with comminuted fracture of radial head(classified as Mason Ⅲ and Ⅳ) underwent radial head replacement from 2007 to 2010.The unipolar mental radial head prosthesis(LINK,Germany) was used for replacement.Elbow function was assessed by Broberg-Morrey elbow score.Results All cases were followed up for average 24.5months.The mean operation time was 104min and mean blood loss was 180ml.According to the Broberg-Morrey elbow score,7cases were excellent,2 good,1 fair and 1 worse.The average range of motion(ROM) of the elbow was 82.3° to 161.4°,maximum pronation of forearm was 60.5°,maximum supination 74.3°.No dislocation and infection was found in this group of patients.Conclusion Radial head replacement is an alternative procedure for comminuted radial head fracture with satisfactory early clinical efficacy. |
| Key words: radial head fracture joint replacement elbow |
