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BOLD螺钉内固定治疗MasonⅡ型桡骨头骨折
引用本文:杨军,金冬泉,周凯华,高如峰,潘福根.BOLD螺钉内固定治疗MasonⅡ型桡骨头骨折[J].骨科,2013,4(2):80-82.
作者姓名:杨军  金冬泉  周凯华  高如峰  潘福根
作者单位:杨军 (复旦大学附属中山医院青浦分院骨科,上海,201700); 金冬泉 (复旦大学附属中山医院青浦分院骨科,上海,201700); 周凯华 (复旦大学附属中山医院青浦分院骨科,上海,201700); 高如峰 (复旦大学附属中山医院青浦分院骨科,上海,201700); 潘福根 (复旦大学附属中山医院青浦分院骨科,上海,201700);
摘    要:目的 探讨采用BOLD螺钉分步延期(ORIF)治疗MasonⅡ型桡骨头骨折的方法 和临床疗效,为临床治疗此类骨折提供参考.方法 对16例MasonⅡ型桡骨头骨折采用BOLD螺钉行ORIF,术后石膏固定10 d,早期功能锻炼.按照Broberg和Morrey的评定标准对肘关节功能评分.结果 16例均获随访,随访时间12~53个月,平均23个月.肘关节功能评分为92.0~100.0分,平均为98.3分;其中优15例,良1例.结论 采用BOLD螺钉ORIF治疗MasonⅡ型桡骨头骨折,手术创伤小、功能恢复好,是治疗成人MasonⅡ型桡骨头骨折较好的方法.

关 键 词:骨螺丝  桡骨骨折  身体锻炼

Internal fixation of with BOLD screws for Mason type Ⅱ radial head fractures.
Institution:YANG Jun, JIN Dong-quan, ZHOUKai hua, et al( Department of Orthopedics, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201700, China)
Abstract:Objective To explore the method and clinical results of the treatment of Mason type Ⅱ radial head fractures with BOLD screws. Methods Sixteen cases of Mason type Ⅱ radial head fractures were surgically reduced and fixed with BOLD screws. These patients were treated with plaster immobilized for 10 days after surgery. Early function exercise was done. Broherg and Morrey elbow scoring system was used to evaluate the elbow function. Results The patients were all followed up for mean 23 months (range 12-53 months). The mean elbow score was 98. 3 (92-100). The effectiveness was excellent in 15 cases, and good in 1 case. Conclusion Treatment of adult Mason type Ⅱ radial head fractures with BOLD screws has advantages of less trauma and better function recovery.
Keywords:Bone screws  Radius fractures  Exercise movement techniques
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