BOLD钉治疗桡骨小头骨折的临床疗效分析

目的:报告BOLD钉治疗Mason II型、未累及桡骨颈的Mason III型桡骨小头骨折的临床疗效。方法:自2009年3月至2012年2月对25例Mason II型,12例Mason III型桡骨小头骨折均采用切开复位BOLD钉内固定。结果:所有患者术后均获得随访12-24个月,平均随访14个月,肘关节功能评分:Mason II型平均分94分(88-98分),其中,优20例,良3例,可2例,差0例,优良率92%;Mason III型平均分91分(80-95分)其中,优9例,良1例,可2例,差0例,优良率83.3%。结论:BOLD钉治疗Mason II型及未累及桡骨颈的Mason III型桡骨小头有手术操作简单,固定稳定,允许早期活动等优点,可以作为这类骨折治疗的新选择。

Analysis of Therapeutic Effect of BOLD Srew for Treatment of Radial Head Fracture

Objective： Report the preliminary clinical results of radial head fracture for Mason type II, Mason type III without radial neck fracture. Methods： In the period from March 2009 to February 2012, open reduction and internal fixation with BOLD screw for 25 cases of M-Ason type II, 12 cases of Mason type III radial head frature. Results： All the patients were followed up for 12 to 24months （mean 14 month）. Mason type II： the BroBeryand Morrey elbow scores a-veraged 94, the result was excellent in 20 cases, good in 3case, fair in 2 csae; Mason type III： the BroBeryand Morrey elbow scores averaged 91, the result was excellent in 9 cases, good in lcase, fair in 2 csae. Conclusion： open reduction and internal fixation with BOLD screw can be a new choice for Mason type II, Mason type III without radial neck fracture with the advantage of simple operation, stable fixation, early function movement.