天津医药 ›› 2020, Vol. 48 ›› Issue (3): 224-227.doi: 10.11958/20192605

• 临床研究 • 上一篇    下一篇

自制取骨器取柱状髂骨重建MasonⅢ型桡骨小头骨折一例

廖建平,蔡亮,张钰   

  1. 南昌大学附属九江医院骨科(邮编332000)
  • 收稿日期:2019-08-23 修回日期:2019-12-02 出版日期:2020-03-15 发布日期:2020-04-11
  • 通讯作者: 张钰 E-mail:jinxiangyu1989@163.com

Reconstruction of Mason Ⅲ radial head fracture with columnar sacrum by self-invented bone extractor: a case report

LIAO Jian-ping,CAI Liang,ZHANG Yu   

  1. Department of Orthopedics, Jiujiang Hospital Affiliated to Nanchang University, Jiujiang 332000, China
  • Received:2019-08-23 Revised:2019-12-02 Published:2020-03-15 Online:2020-04-11
  • Contact: Yu ZHANG E-mail:jinxiangyu1989@163.com

摘要: Mason Ⅲ型的粉碎性桡骨小头骨折的固定非常困难,手术方法包括桡骨小头切除,螺钉、钢板固定,人工桡骨小头置换,但手术方式颇具争议。文章报告 1 例采用自制取骨器取自体柱状髂骨的方法重建桡骨小头,获得肘关节良好功能的案例。通过介绍自制取骨器重建桡骨小头的方法,为今后治疗粉碎性桡骨小头骨折提供新的思路。

关键词: 桡骨小头骨折, 自制取骨器, 重建, 髂骨

Abstract: It is very difficult to fix the comminuted radial head fracture of Mason type Ⅲ. Surgical methods include radial head resection, screw and plate fixation, and artificial radial head replacement. However, the surgical methods are controversial. In this article, a case of reconstruction of the radial head and obtaining a good function of the elbow joint with the self-made bone harvester was reported. This paper introduces the method of reconstructing the radial head with selfmade bone remover, and provides new ideas for the treatment of unstable comminuted radial small head fracture in the future.

Key words: radial head fracture, self-invented bone extractor, reconstruction, ilium