经皮撬拨复位内固定治疗军队训练伤桡骨颈骨折

肖飞鹏; 吕辉照; 赵枫; 曹杰; 王江波; 张冬福

doi:10.16016/j.1000-5404.201806005

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经皮撬拨复位内固定治疗军队训练伤桡骨颈骨折

军事医学 | 更新时间：2026-01-09

- 经皮撬拨复位内固定治疗军队训练伤桡骨颈骨折
- Percutaneous poking reduction for treatment of radial neck fracture sustained in military training
- 第三军医大学学报 2018年40卷第24期页码：2217-2221
- 作者机构：
  
  362000 福建泉州，解放军第180医院骨二科
- 作者简介：
  
  [肖飞鹏, E-mail：orange_xiaofeipeng@aliyun.com XIAO Feipeng, E-mail: orange_xiaofeipeng@aliyun.com
- 基金信息：
- DOI：10.16016/j.1000-5404.201806005
  中图分类号： R181.32; R683.41; R687.32
- 收稿：2018-06-01，
  
  修回：2018-09-27，
  
  纸质出版：2018-12-30
- 稿件说明：
移动端阅览
肖飞鹏, 吕辉照, 赵枫, 等. 经皮撬拨复位内固定治疗军队训练伤桡骨颈骨折[J]. 第三军医大学学报, 2018,40(24):2217-2221.

Feipeng XIAO, Huizhao LYU, Feng ZHAO, et al. Percutaneous poking reduction for treatment of radial neck fracture sustained in military training[J]. Journal of Third Military Medical University, 2018, 40(24): 2217-2221.
肖飞鹏, 吕辉照, 赵枫, 等. 经皮撬拨复位内固定治疗军队训练伤桡骨颈骨折[J]. 第三军医大学学报, 2018,40(24):2217-2221. DOI： 10.16016/j.1000-5404.201806005.

Feipeng XIAO, Huizhao LYU, Feng ZHAO, et al. Percutaneous poking reduction for treatment of radial neck fracture sustained in military training[J]. Journal of Third Military Medical University, 2018, 40(24): 2217-2221. DOI： 10.16016/j.1000-5404.201806005.

摘要

目的

探讨经皮撬拨复位内固定治疗军队训练伤桡骨颈骨折的临床疗效。

方法

自2005年9月至2017年3月，我院骨科共收治桡骨颈骨折311例，其中男性265例，女性46例；年龄18~33(25.3±6.2)岁。受伤原因：摔伤229例；高处坠落伤41例；拳击伤41例。骨折均为单纯性桡骨颈骨折，根据O’Brien骨折分型：Ⅰ型138例：Ⅱ型152例；Ⅲ型21例。所有患者分为撬拨组和对照组，其中撬拨组232例，采用透视下经皮克氏针撬拨复位内固定术；对照组79例，采用切开复位微型钢板内固定术。记录骨折愈合时间和肘关节JOA功能评分。

结果

末次随访时撬拨组的JOA评分(96.0±3.0)分，对照组的JOA评分(90.2±4.4)分，两组间比较差异有统计学意义(

=13.878

＜0.01)。所有骨折均获得Ⅰ期愈合，撬拨组的骨折愈合时间4~6(5.1±0.5)周，对照组的骨折愈合时间12~22(17.5±4.0)周，两组间比较差异有统计学意义(

=18.008，

＜0.01)。

结论

经皮撬拨复位内固定治疗军队训练伤性桡骨颈骨折，具有微创、快速康复、功能满意的优点。

Abstract

Objective

To assess the efficacy of percutaneous poking reduction for treatment of radial neck fractures sustained during military training.

Methods

From September

2005 to March

2017

a total of 311 patients with radial neck fractures were treated in our hospital

including 265 male and 46 female patients with a mean age of 25.3±6.2 years (range 18-33 years). The patients sustained the injuries due to tumbling (

=229) or falling from height (

=41) or during boxing (

=41). According to O'Brien classification

the fractures were classified into type Ⅰ (138 cases)

type Ⅱ (152 cases) and type Ⅲ (21 cases). The patients received percutaneous poking reduction with pin fixation (232 patients) or open reduction and plate fixation (79 patients)

and the bone healing time and the Japanese Orthopedic Association (JOA) function scores of the elbow were compared between the 2 groups.

Results

The JOA scores of the elbow differed significantly between the poking reduction group and the open reduction group (96.0±3.0

90.2±4.4

=13.878

0.01). The time of bone healing in the poking reduction group was 5.1±0.5 weeks (range 4-6 weeks)

significantly shorter than that in the open reduction group (17.5±4.0 weeks

range 12-22 weeks;

=18.008

0.01).

Conclusion

Percutaneous poking reduction is minimally invasive for treatment of radial neck fracture and better promotes rapid rehabilitation and functional recovery compared with open reduction.

关键词

Keywords

references

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