Cable-pin系统和克氏针张力带治疗尺骨鹰嘴骨折临床分析

摘要

目的 探讨尺骨鹰嘴骨折治疗中Cable-pin系统和克氏针张力带(tension band wiring,TBW)两种内固定方法的临床效果.方法 尺骨鹰嘴骨折病人36例,根据所使用内固定种类的不同分为Cable-pin系统治疗的Cable-pin组(19例)和克氏针张力带治疗的TBW组(17例),对每组病人术中情况、远期效果及并发症发生率等情况进行比较.结果 所有病人均获随访,随访时间12 ～ 25个月,平均(13.00 ±4.68)个月.Cable-pin组在骨折愈合时间、术后优良率及并发症发生率分别为(12.2±2.3)周、78.9％和10.5％,TBW组分别为(16.0±2.2)周,58.8％和,35.3％,两组比较差异有统计学意义(P＜0.05);Cable-pin组在手术出血量、术中耗时分别为(66.4±11.0)ml和1.5 ±0.6)小时,TBW组分别为(71.6 ±9.8)ml和(1.6±0.5)小时,两组比较比较,差异无统计学意义(P＞0.05).结论 治疗尺骨鹰嘴骨折时,Cable-pin系统利于骨折愈合,固定可靠及并发率低.%Objective To discuss the therapeutic effects for olecranon fracture patients who apply Cable-pin system and tension band wiring (TBW).Methods 36 patients with olecranon fractures were retrospectively analyzed,and the patients who received Cable-pin system and tension band wiring were divided into Cable-pin group(n =19)and TBW group(n =17),and analysising the intraoperative situation,incidence of complications,long-term effect of patients between the two groups.Results 36 cases were all followed up,the mean time was from12 to 25 (13.00 ± 4.68)months.the Cable-pin group in the aspect of the healing time of fracture was (12.2 ± 2.3)w,the fine rate after operation was 78.9％,the incidence of complications were 10.5％,which were superior to the TBW group[(16.0 ± 2.2)w,58.8％,35.3％],and the difference was statistically significant(P ＜ 0.05);the Cable-pin group in the aspect of the intraoperative blood loss was(66.4 ± 11.0) ml and the operation time was (1.5 ± 0.6) h,which were compared to the TBW group[(71.6 ± 9.8) ml,(1.6 ± 0.5) h],there was no statistical difference (P ＞ 0.05).Conclusion For the treatment of olecranon fractures,Cable-pin system is reliable fixation,the fracture healing is fast,the incidence of complications is low.