一种新的固定方式——雪橇板技术在尺骨鹰嘴骨折中的初步应用报道 |
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投稿时间:2018-10-17 修订日期:2019-01-11
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期刊信息:《中国骨伤》年,第卷,第期,第-页 |
DOI: |
基金项目:1) 北京积水潭医院“学科新星”(JST201704)-Beijing Jishuitan Hospital Nova Program (JST201704)。 2) 北京市医院管理局人才培养“登峰”计划DFL20150401。Beijing Municipal Administration of Hospitals’Ascent Plan,DFL20150401。 |
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中文摘要:目的 介绍一种鹰嘴骨折固定的新技术——鹰嘴雪橇板固定技术。方法 回顾性分析2017年3月作者用这一技术治疗的4名鹰嘴骨折患者,男2例,女2例;年龄分别为46、40、72、47岁;左侧2例,右侧2例;均为摔伤引起;其中1例合并有同侧肱骨近端骨折,其他3例无合并伤。骨折均为横行、斜行或轻度关节面压缩骨折。结果 4名患者均为2017年3月手术,2018年9月随访时均为术后18个月。末次随访时,所有患者术后肘关节屈伸和前臂旋转功能均与对侧基本相同,MEPS评分均为100分,优良率100%。4名患者骨折愈合良好,无内固定物激惹等表现,但4名患者均要求取出内固定物,可能与国人习惯相关,其中1名右尺骨鹰嘴合并同侧肱骨近端骨折患者于术后14个月已行内固定物取出。结论 鹰嘴雪橇板的低切迹设计和一体化设计避免了张力带和钢板常见的内固定物激惹现象,操作简单,对于简单和轻度粉碎的鹰嘴骨折是一种理想的内固定方式。 |
【关键词】鹰嘴,骨折,张力带,钢板,雪橇板 |
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A new fixation technique -- Application of Olecranon sled in olecranon fracture |
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ABSTRACT 【】 Objective To introduce a new fixation technique——the olecranon sled for olecranon fractures. Methods We retrospective analysis 4 patients with olecranon fractures treated by sled in March 2017, 2 males and 2 females, aged 46, 40, 72 and 47 years, 2 left and 2 right, all of whom were caused by falls, 1 with ipsilateral proximal humerus fractures and 3 without combined injuries. All fractures were transverse, oblique or mild articular surface compression fractures. Results All the 4 patients were operated in March 2017 and were followed up for 18 months in September 2018. At the last follow-up, the flexion and extension of the elbow and the rotation of the forearm were basically the same with the contralateral side. The MEPS score all were 100, and the excellent and good rate was 100%. Four patients had good fracture healing and no irritation of internal fixator. But all four patients required removal of internal fixator, which may be related to human habits. Conclusion The low-profile design and integrated design of olecranon sled can avoid the irritation of tension band and plate, and it is a simple and ideal internal fixation method for simple and mildly comminuted olecranon fracture. |
KEY WORDS Olecranon, fracture, tension band, plate, Olecranon sled |
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