【摘要】 目的评价桌面重建技术结合低切迹接骨板治疗Mason Ⅲ型桡骨头骨折的临床效果。方法回顾性分析2012年2月至2016年12月采用桌面重建技术治疗Mason Ⅲ型桡骨头骨折10例。其中,男3例,女7例;年龄19～40岁,平均29岁;左侧8例,右侧2例;摔伤8例,车祸伤2例。结果所有患者均获随访,随访时间为12～20个月,平均14个月,7例骨折骨性愈合,3例骨折不愈合,肘关节屈曲活动范围平均130°(125°～138°);前臂旋前活动度平均70°(67°～73°);旋后范围活动度平均74°(72°～76°);Broberg-Morrey功能评分平均91分(82～98)分,优3例、良7例;DASH评分平均2.40分(1.01～4.57)分。结论桌面重建技术相对于桡骨头切除和假体置换是一种安全、可行的治疗选择,近期疗效满意。更多还原

【Abstract】 Objective To evaluate the clinical outcomes of Mason type Ⅲ radial head fractures, which were treated by ontable reconstruction technique and fixation using low profile plates. Methods A retrospective study was carried out of 10 patients which were treated by on-table reconstruction technique from Feb 2012 to Dec 2016. There were 3 males and 7 females, with an average age of 29 years(from 19 ～ 40 years). The locations were left side in 8 cases and right side in2 cases; the causes of injure were a fall in 8 cases and traffic accident in 2 cases. Results All the patients were followed up for 12 to 20 months(14 months on average), 7 cases had bony union, 3 cases was nonunion. The average elbow flexion was 130°(range 125°～ 138°). The average pronation and supination was 70°(range 67°～ 73°) and 74°(range 72°～ 76°) respectively. The mean Broberg and Morrey score was 91 points(range 82 ～ 98) points. The mean DASH score was 2.40 points(range 1.01 ～ 4.57) points. Conclusion On-table reconstruction and fixation of Mason type Ⅲ radial head fractures using low profile plates is a reliable and safe treatment option, which relative to radial head excision and prosthetic replacement.更多还原