UNASSIGNED:常规的外侧入路广泛用于用螺钉治疗桡骨头骨折。然而,传统的切口可能有缺点,包括过度暴露和明显的疤痕。我们提出了一种创新的方法-小于2.5厘米的微型开放外侧入路,用于用螺钉手术治疗桡骨头骨折。
UNASSIGNED:从2017年1月至2020年12月,本研究对34例诊断为闭合性桡骨头骨折的患者进行了切开复位内固定(ORIF)治疗。新组(迷你开放组)包括15名患者,其他19例患者为传统组。记录手术时间和术中出血量。记录并比较两组患者术后临床疗效及影像学检查结果。肘部的运动范围(ROM),视觉模拟量表(VAS),梅奥肘部表现得分(MEPS),美国肩肘外科医师评定量表(ASES),和手臂缩短的残疾,肩手问卷(Q-DASH)评分与并发症,如伤口感染,血管和神经损伤,两组均观察到碎片再移位。
UNASSIGNED:在两组之间的比较中,在年龄上没有显著差异,性别,桡骨头骨折的原因,或其他基本信息。操作时间,术中失血,新组术后3天VAS评分显著降低(p<0.05)。随访结果显示,MEPS无显著性差异,ASES,或两组之间的Q-DASH评分。
UNASSIGNED:微型开放方法减少了术中失血,缩短操作时间,缓解患者疼痛,并取得了满意的术后临床效果,这表明新的方法是治疗桡骨头骨折安全有效的选择。
UNASSIGNED: The conventional lateral approach is widely used to treat radial head fractures with screws. However, the traditional incision may have shortcomings, including excessive exposure and significant scarring. We propose an innovative method - a mini-open lateral approach of less than 2.5 cm for surgical treatment of radial head fractures with screws.
UNASSIGNED: From Jan 2017 to Dec 2020, 34 patients diagnosed with closed radial head fracture were treated with open reduction and internal fixation (ORIF) in this
study. The novel group (mini-open group) included 15 patients, and the other 19 patients were in the traditional group. The time of operation and the blood loss during operation were recorded. Postoperative clinical outcomes and radiographic results were recorded and compared between the two groups. The range of motion (ROM) in the elbow, the Visual Analogue Scale (VAS), the Mayo Elbow Performance Score (MEPS), Rating Scale of the American Shoulder and Elbow Surgeons (ASES), and the Shortened Disabilities of the Arm, Shoulder and Hand Questionnaire (Q-DASH) score and complications, such as wound infection, vascular and nerve damage, and fragment redisplacement were observed in the two groups.
UNASSIGNED: In the comparison between the two groups, there was no significant difference in age, sex, cause of radial head fracture, or other basic information. The operation time, intraoperative blood loss, and VAS score at 3 days postoperation were significantly reduced in the novel group (p < 0.05). The follow-up results showed that there was no significant difference in MEPS, ASES, or Q-DASH scores between the two groups.
UNASSIGNED: The mini-open approach reduced intraoperative blood loss, shortened operation time, relieved patient pain, and achieved a satisfactory postoperative clinical result, which demonstrates that the novel approach is a safe and effective option for treating radial head fractures.