尺骨冠突骨折21例

目的探讨尺骨冠突骨折的治疗方法。方法2006年1月至2009年3月采用克氏针、螺钉、钢丝或丝线等手术治疗21例尺骨冠突骨折。结果平均随访23个月，所有患者均骨性愈合，平均愈合时间8．2周，无伤口感染及内固定松动、断裂，无神经损伤，无关节强直等并发症，肘关节半脱位1例，骨化性肌炎2例。根据肘关节功能评定标准评定疗效：优11例，良5例，可4例，差1例，优良率为76．2％。结论尺骨冠突对维持肘关节的稳定性十分重要，以手术治疗为宜，手术不仅可以复位、固定骨折．同时也可修复或重肆损伤的韧带．可旱期行肘关节的功能锻炼．

21 cases of ulna coronoid process fracture

Objective To explore the treatment of ulna coronoid process fracture. Methods Twenty -one patients with the ulna coronoid process fracture were treated surgically by methods of internal fixation with kirschner wires,screws, steel wires and the silk thread between January 2006 and March 2009. Results Twenty -one patients were followed up for an average 23 months. All of the fractures healed well, the averaged healing time was 8.2 weeks. No inflammation, neural injuries, loosening or breakage of the internal fixations and or other severe complications occurred, except for 1 case with subluxation of elbow joint and 2 cases with myositis ossificans. The clinical results： 11 cases were excellent, 5 cases were good,4 cases were fair and 1 case was poor. The rate of excellent and good was 76.2%. Conclusions Ulna coronoid process is very important for elbow stability, the fracture should be treated by operation. The surgical treatment not only can reset and fix fractures, but also can repair or reconstruct ligaments, so it can facilitate the early functional exercises of elbow joint.