可吸收棒内固定治疗MasonⅡ型桡骨小头骨折

目的：分析探讨可吸收棒内固定技术治疗MasonⅡ型桡骨小头骨折的临床疗效。方法：11例桡骨小头骨折患者,其中男7例,女4例;年龄10～16岁,平均11岁。所有病例骨折分型为MasonⅡ骨折,骨折块分离移位。术前X线及CT显示骨折情况,均采用切开复位可吸收棒内固定技术进行治疗。术后常规拍摄X线片了解骨折复位情况,患肢屈肘90°、前臂中立位长臂石膏托固定4周,去石膏后积极进行功能锻炼。通过拍摄X线片及Broberg and Morrey肘关节评分标准进行评价。结果：所有病例均获得随访,随访时间6～22个月,平均15个月,复查X线证实骨折愈合,平均愈合时间3个月。所有病例均未出现骨折移位、关节疼痛、关节不稳及畸形愈合等并发症。患肢功能恢复良好,无关节活动障碍影响生活者。结论：应用可吸收棒内固定技术治疗MasonⅡ型桡骨小头骨折是一种疗效可靠、简单经济的临床治疗方法。

Treatment of Mason Ⅱ Radial Head Fracture with Absorbable Fixation Rod

Objective：To investigate curative effect of MasonⅡ type radial head fracture treated with absorbable internal fixation rod. Methods： A total of Ⅱ cases of radial head fracture treated with absorbable rod were followed up. The fracture classification was Mason Ⅱ radial head fractures. Preoperative film X-ray and CT showed fractures. Mason classification and Broberg and Morrey criteria were used to evaluate the clinical effect. Results： All cases were followed up for a mean time of 15 months. Evaluation was clone according to Broberg and Morry score systems. Complications were not apparent in all cases. Conclusion： Treatment of radial head fractures through internal fixation with absorbable rod is a safe and economic process.