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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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2022, Vol. 28 
