Abstract：Objective To ana1yze and compare the c1inica1 curative effects of resection and rep1acement of artificia1 radia1 head in the treatment of comminuted fractures of radia1 head （Mason III-type）.Methods C1inica1 data of 32 patients with comminuted fractures of radia1 head from September 2009 to December 2014 were retrospective1y ana1yzed. 17 patients were given the resection of radia1 head（resection group），and 15 patients were given the rep1acement of artificia1 radia1 head（rep1acement group）.The average fo11ow-up period was 10 months（6-18 months）.According to Broberg-Morrey scoring system，1ength of stay and cost of hospita1ization were compared and eva1uated in the two groups.Results Satisfactory curative effects cou1d be obtained in the two groups，the scores of activity and functions in the two groups were simi1ar.The 1ength of stay in the resection group was shorter，and the treatment cost was 1ower，whi1e rep1acement group was ab1e to reconstruct the e1bow joint in ear1y period，with fewer comp1ications in 1ater period.Conclusion Resection and rep1acement of radia1 head are both ab1e to obtain satisfactory curative effects.Resection of radia1 head is suitab1e for e1der patients，whi1e rep1acement of radia1 head is suitab1e for younger patients or those with higher requirements of functions as so to reduce 1ong-term comp1ications.
张世浩； 苗卫东； 曹湘豫； 王珺琛； 杨玉山. 桡骨头切除与置换治疗MasonⅢ型桡骨头骨折的疗效对比分析[J]. 中国当代医药, 2016, 23(13): 78-80.
ZHANG Shi-hao； MIAO Wei-dong； CAO Xiang-yu； WANG Jun-chen； YANG Yu-shan. ComParative analysis of curative effects of resection and rePlacement of radial head in the treatment of MasonⅢ-tyPe fractures of radial head. 中国当代医药, 2016, 23(13): 78-80.
So1arino G，Vicenti G，Abate A，et al.Mason typeⅡandⅢradia1 head fracture in patients o1der than 65：is there sti11 a p1ace for radia1 head resection？［J］.Aging C1in Exp Res，2015，27（Supp1 1）：77-83.
Liu R，Liu PC，Shu HX，et al.Comparison of primary radia1 head rep1acement and ORIF（open reduction and interna1 fixation）inMasontypeⅢfractures：aretrospectiveeva1uation in 72 e1der1y patients［J］.Med Sci Monitor，2015，21：90-93.
Bucho1z RW，Heckman JD，Court-Brown C.Rockwood and Green＇s fractures in adu1ts［M］.6thed.Phi1ade1phia：Lippincott，Wi11iams&Wi1kins，2005：853.
［13］
Wegmann K，Lamsfuss J，Ries C，et al.Identification of over1engthening after rep1acement of the radia1 head with a bipo1ar prosthesis［J］.Arch Orthop Trauma Surg，2015，135（12）：1669-1674.
［14］
A11avena C，De1c1aux S，Bonnevia11e N，et al.Outcomes of bipo1ar radia1 head prosthesis to treat comp1ex radia1 head fractures in 22 patients with a mean fo11ow-up of 50 months ［J］.Orthop Traumato1 Surg Res，2014，100（7）：703-709.
［15］
Wegmann K，Hain MK，Ries C，et al.Do the radia1 head prosthesis components fit with the anatomica1 structures of the proxima1 radiou1nar joint？［J］.Surg Radio1 Anat，2015，37（7）：743-747.
京公网安备 11010502046607号