个体化方案治疗不同类型尺骨冠状突骨折的肘关节恐怖三联征

目的 分析个体化方案治疗不同类型尺骨冠状突骨折的肘关节恐怖三联征的临床疗效.方法 将42例肘关节恐怖三联征患者根据尺骨冠状突骨折Regan-Morrey分型的不同选择个体化方案治疗.记录肘关节屈伸及前臂旋转活动范围,采用Mayo评分评价肘关节功能,观察并发症发生情况.结果 患者均获得随访,时间4～6(4.93±0.75...

The individualized regimen for treatment of terrible triad injury of elbow with different types of ulna coronal process fracture

Objective To analyze the clinical efficacy of individualized regimen for treatment of terrible triad injury of elbow with different types of ulna coronal process fractures.Methods The 42 cases of terrible triad injury of elbow were treated with individualized surgery plan based on Regan-Morrey classification for ulna coronal process fracture.Dynamic motion scope changes of flexion-extension of elbow and rotation of forearm were observed.Elbow function were assessed with Mayo score criterion.Complications situation were observed.Results All cases were followed up for 4~6(4.93±0.75)years.There were 3 cases of incision infections(1 case occurred in typeⅠ,Ⅱ,Ⅲpatient,respectively),2 cases of delayed ulnar neuritis(both were typeⅡ)and 2 cases of traumatic arthritis(typeⅡ1 case,and typeⅢ1 case).At the last follow-up,there were no statistically significant differences in Mayo scales and excellent-good ratio among three kinds of classification(P>0.05).At 3,6,9 months,the activity of flexion-extension of elbow in the patients with typeⅠulna coronal process fracture was poorer than those of patient with typeⅡ,Ⅲ(P<0.05),while there was no difference for patients with typeⅡ,Ⅲ(P>0.05);there were no differences among the three types at 1,12 postoperation and last follow-up(P>0.05).For the activity of the forearm,there were no differences among the three kinds of fractures at the various time points(P>0.05).Conclusions In surgical treatment of terrible triad injury of elbow,Regan-Morrey classification of ulna coronal process fracture is an important basis for making individual treatment plan.