肘关节后脱位并尺骨冠状突骨折9例临床疗效分析

目的 探讨肘关节后脱位并尺骨冠状突骨折的治疗方法。方法 总结2000年3月～2003年5月9例肘关节后脱位合并尺骨冠状突骨折患者的治疗经验，根据骨折类型分别采用内外侧入路对8例患者进行手术治疗，术后配合早期功能锻炼。结果 所有患者随访8～24个月，根据HSS评分标准，优5例（55.6%)，良2例（22.2%)，一般2例（22.2%)，优良率77.8%，无严重肘关节并发症发生。结论 选择恰当的手术入路和早期功能锻炼是提高该类骨折效果的关键。

An analysis of clinical effects of 9 cases of fracture of ulna coronoid process with posterior dislocation of elbow joint

Objective To investigate the management of the fracture of the ulna coronoid process combined with posterior dislocation of the elbow joint. Methods A retrospective study was done to analyze the 9 cases of fracture of the ulna coronoid process combined with posterior dislocation of the elbow joint who had been treated from March 2000 to May 2003 in our hospitals. 8 cases were treated with operations through internal or lateral approach according to their specific types, and early functional exercises were encouraged. Results Follow-ups of 8 to 24 months for all the patients proved that no severe complications of the elbow joint occurred in the group. According to HSS evaluation, 5 cases (55.6%)were rated as excellent, 2 (22.2%) good, and 2 (22.2%)fair. Conclusion A reasonable surgical approach and early functional exercises are essential to good outcomes of the treatment of this kind of fractures.