应用尺骨钢板治疗鹰嘴骨折

目的探讨切开复位钢板内固定治疗尺骨鹰嘴骨折疗效。方法回顾分析自2006年10月～2010年10月采用切开复位尺骨钢板内固定治疗的65例尺骨鹰嘴骨折资料,其中男37例,女28例;年龄20～55岁,平均37.5岁;左侧21例,右侧44例;简单骨折16例,粉碎骨折49例;开放性骨折2例,闭合性骨折63例。其中同时合并肱骨髁间粉碎性骨折2例,合并桡骨小头骨折肘关节前脱位4例。手术时机:伤后2小时～7天﹙平均3.5天﹚。结果65例患者均获得随访,随访时间6～35个月,平均21个月。骨折愈合良好,平均愈合时间4.5个月﹙3～9个月﹚。按Broberg疗效评定标准评定,本组病例疗效优47例,良13例,可5例。结论钢板固定﹙或同时结合植骨﹚恢复鹰嘴滑车切迹解剖结构,利于早期功能练习,骨折愈合率高,并发症少,临床疗效良好,是鹰嘴骨折较好治疗方案。

Treatment of olecranon fracture with ulnar plate

Objective To evaluate the outcome of patients who were treated for olecranon fractures with ulnar plate.Methods 65 patient（s 37 male and 28 female,2 open fracture and 63 close,21 in left and 44 in right,simple fracture in 49 cases and comminuted in 16 cases）were identified as olecranon fracture,with average age 37.5 years（range 20 to 55years）,who were treated with ulnar plate from Oct 2006 to Oct 2010 were retrospectively reviewed.Associated fractures were inter-condyler fracture of humeur in 2 cases and radial head dislocation in 4 cases.The mean interval time between injury and operation was 3.5 day（s 2 hours to 7 days）.Result Patients were followed for an average of 21 months （range 6 to 35 months）.The end results were 47 excellent,13 good based on Broberg scale,the average union time was 4.5 month（s range3 to 9 months）.Conclusion Ulnar plate fixation（or combined with bone graft）allows early mobilization of the elbow,making a high union rate,a low incidence of hardware related complications and a satisfactory result providing the contour and dimension of the trochlear notch is restored.,this technique may be a better option for the treatment of olecranon fracture.