Objective To investigate the diagnosis and treatment of the anteromedial coronoid facet fractures. Methods 10 cases of the anteromedial coronoid facet fractures from June 2011 to December 2013 were involved in the study. The anteromedial coronoid facet fractures were fixed by using mini-plate and the lateral collateral ligaments were repaired by using anchor. Results All cases were followed-up for 12-28 months(average 15.8 months). Mean flexion at last follow-up was 121°(range,90°~140°),mean extension loss was 18°(range,0°~50°),mean pronation was 70°(range,50°~90°)while mean supination was 69°(range,51°~90°). According to MEPS elbow performance score, the results were excellent in 5 cases,good in 4 cases and fair in 1 case. Conclusion It is very important to increase cognition to the pattern injury and repair the structure of injury by early operation.%目的 探讨尺骨冠状突前内侧骨折的诊断及治疗.方法 2011年6月至2013年12月共收治10例尺骨冠状突前内侧骨折患者,所有患者均采用微型钢板内固定冠状突和锚钉修复外侧副韧带.结果 10例患者术后获12~28个月(平均15.8个月)随访.平均屈曲121° (90°~140°),平均伸直丢失18°(0°~50°),平均旋前70°(50°~90°),平均旋后69°(51°~90°).根据MEPS肘关节功能评分,优5例,良4例,可1例.结论 正确诊断冠状突前内侧骨折,早期行微型钢板支撑内固定和锚钉修复损伤外侧副韧带,可获得满意的临床疗效.
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