Herbert螺钉治疗桡骨头骨折及文献复习

目的 评价Herbert螺钉治疗有移位的桡骨头骨折的优越性。方法 自1991年3月以来应用Herbert螺钉治疗有移位的桡骨头骨折25例，并与文献上其他治疗方法的结果相比较。结果 经平均随访6年8个月，术后功能恢复均为优良，大多数患者完全恢复正常，无并发症。结论 Herbert螺钉治疗桡骨头骨折能提供牢固的内固定，术后很少需石膏外固定，并且大多数患者在数周内恢复原工作。在处理这类骨折中，本治疗方法比常规方法具有明显的优越性。

Herbert screw treating displaced radial head fractures and a review of literatures

Objective To evaluate advantages of the Herbert screw in treating displaced radial head fractures. Methods The Herbert screw was used to treat 25 segmental fractures of the radial head from since 1991 and the results were compared with those of other treatment methods mentioned in the literature. Results A follow up averaging 6 years and 8 months showed that postoperative function was all excellent or good and that most cases recovered to normal absolutely, without complications. Conclusions The Herbert screw provides such rigid internal fixation for displaced radial head fractures that, after operation, a plaster cast is rarely required and most patients are able to return to work within a few weeks. This method of treatment appears to offer significant advantages over conventional techniques.