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首页> 外文期刊>Injury >On-table reconstruction of comminuted fractures of the radial head.
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On-table reconstruction of comminuted fractures of the radial head.

机译:table骨头粉碎性骨折的现场重建。

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摘要

The most widely accepted treatment for comminuted fractures of the radial head is either the excision or open reduction and internal fixation. The purpose of the present study is to evaluate the value of an 'on-table' reconstruction technique in severely comminuted fractures of the radial head. In this study, two patients with a Mason type-III and four patients with a Mason type-IV radial-head fracture were treated with 'on-table' reconstruction and fixation using low-profile mini-plates. After a mean follow-up of 112 months (47-154 months), the mean elbow motion was 0-6-141 degrees extension flexion with 79 degrees of pronation and 70 degrees of supination. The mean Broberg and Morrey functional rating score was 97.0 points, the Mayo Elbow Performance Index was 99.2 points and the mean Disabilities of the Arm, Shoulder, and Hand (DASH) Outcome Measure score was 1.94 points. One patient had symptoms of degenerative changes, with a slight joint-space narrowing. There were no radiographic signs of devitalisation at final examination. Comminuted fractures of the radial head, which would otherwise require excision, can be successfully treated with an 'on-table' reconstruction technique.
机译:the骨头粉碎性骨折最广泛接受的治疗方法是切除或切开复位内固定术。本研究的目的是评估“台式”重建技术在the骨头严重粉碎性骨折中的价值。在这项研究中,两名“梅森” III型患者和四名“梅森” IV型radial骨头骨折患者接受了“台式”重建,并使用低矮的微型钢板固定。在平均随访112个月(47-154个月)后,平均肘部运动为0-6-141度伸展屈曲,内旋度为79度,旋后度为70度。 Broberg和Morrey功能评分平均得分是97.0分,Mayo肘关节性能指数得分是99.2分,手臂,肩膀和手部(DASH)结果评估的平均得分是1.94分。一名患者出现退行性变的症状,关节间隙略有缩小。在最终检查中没有放射线消失的迹象。 otherwise骨头的粉碎性骨折,否则需要切除,可以通过“台式”重建技术成功治疗。

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