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Efficacy of T-Plate Combined with Herbert Screw Internal Fixation for Mason Ⅲ Radial Head Fractures and Its Influence on Perioperative Indicators Elbow Function Score and Complications |
CHEN Shuzhen, HUANG Yuliang, ZHANG Lixuan |
Huizhou Central People's Hospital, Guangdong Huizhou 516000, China |
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Abstract Objective: To explore the efficacy of T-plate combined with Herbert screw internal fixation in the treatment of Mason Ⅲ radial head fractures and its influence on perioperative indicators, elbow function score and complications. Methods: A total of 118 patients with Mason Ⅲ radial head fractures in the hospital were randomly selected as the research subjects, and they were divided into observation group and control group according to the simple random method. The control group (n=58) was treated with T-plate fixation, and the observation group (n=60) was given T-plate combined with Herbert screw internal fixation. Perioperative indicators, pain score, postoperative complications and elbow function were compared between the two groups. Results: The clinical effective rate was 93.33% in observation group and 77.59% in control group, with a statistical difference (P<0.05). The surgical time and postoperative starting exercise time in observation group were significantly shorter or less than those in control group (P<0.05), and there were no statistical differences in intraoperative blood loss, surgical incision length, and treatment cost between the two groups (P>0.05). The differences were statistically significant (P<0.05) when comparing VAS scores between groups, time points and between groups x time points. The VAS scores of the two groups were decreased sequentially at 1d, 3d, and 7d after surgery (P<0.05). There was no statistically significant difference in the score at 1d after surgery (P>0.05), and the VAS scores at 3d and 7d after surgery were significantly lower than those in control group (P<0.05). The total incidence rate of complications was 10.00% in observation group and 18.97% in control group (P>0.05) with no significant statistical difference. At 6 months in follow-up after surgery, the range of motion of elbow joint and Mayo score of observation group were significantly wider or higher than those of control group (P<0.05). Conclusion: T-plate combined with Herbert screw internal fixation in the treatment of Mason Ⅲ radial head fractures can significantly improve the clinical efficacy and postoperative starting exercise time, reduce postoperative pain and restore good postoperative elbow function.
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[1] 叶凯,安智全.桡骨头骨折和桡骨颈骨折的临床治疗进展[J].国际骨科学杂志,2020,41(1):42~46. [2] 梅毅宁,杨秋贤.三种方法治疗成人MasonⅢ型桡骨头骨折的临床疗效分析[J].中医临床研究,2020,12(33):114~116. [3] 黄爱民,徐名洪,吕维宝.T型钢板内固定与石膏外固定治疗桡骨远端骨折的疗效比较[J].临床骨科杂志,2020,23(1):98~101. [4] 欧阳阳钢,孙浩然,姜宗圆,等.腕关节镜辅助下双枚Herbert螺钉经皮内固定微创治疗不稳定腕舟骨骨折[J].中华手外科杂志,2021,37(2):142~144. [5] 东海潮,徐欣,李培楠,等.微型钢板,Herbert螺钉及可吸收棒内固定修复MasonⅡ型桡骨头骨折[J].中国组织工程研究,2019,23(4):32~38. [6] 高化,刘振宇,白晓冬,等.组配型假体置换与钢板螺钉内固定治疗成人Mason Ⅲ型桡骨头骨折疗效的比较[J].中华创伤骨科杂志,2021,23(2):143~148. [7] 汪勇刚,王敏.三种不同内固定方案治疗成人MasonⅡ型桡骨小头骨折的效果[J].中国医药导报,2019,16(6):62~65,81. [8] 丰瑞兵,王华松,蔡贤华,等.切开复位2.5 mm微型锁定加压钢板内固定治疗桡骨远端Die-punch骨折的疗效分析[J].华南国防医学杂志,2020,34(6):385~388,396. [9] 宁凡友,许海燕,赵子龙,等.Herbert钉内固定治疗Mason-Johnston Ⅲ、Ⅳ型桡骨头骨折的疗效分析[J].中国骨与关节损伤杂志,2021,36(3):313~314. [10] 沈强,张立明,舒媛,等.Herbert螺钉内固定加改良植骨术治疗陈旧性腕舟骨骨折的临床研究[J].临床误诊误治,2019,32(7):58~62. [11] 陈晓琳,老锦雄,谢韶东,等.两种康复锻炼方法促进Sanders Ⅳ型跟骨骨折术后功能恢复的对比研究[J].重庆医学,2019,48(5):145~148. [12] 蔡英富,崔顺平,秦立亭.双头加压螺钉及微型锁定接骨板在桡骨小头骨折内固定中的应用[J].海南医学,2019,30(19):65~68. |
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