目的 综述桡骨头骨折的治疗进展.方法 查阅国内外有关桡骨头骨折治疗研究的相关文献,并进行综合分析.结果 桡骨头骨折的治疗主要包括保守治疗和手术治疗.其术式的选择主要依据Mason分型.Mason 1型患者选择保守治疗;Mason 2型患者选择切开复位内固定术;内固定材料主要包括克氏针、螺钉或钢板等;Mason 3型患者选择桡骨头切除术;Mason 4型患者选择桡骨头置换术.结论 桡骨头骨折是肘部常见的骨折.依据Mason分型选择相应的治疗方式,可取得满意的疗效.%Objective To review the progress in the clinical treatment of radial head fracture. Methods Related literature concerning the treatment of radial head fracture was extensively reviewed, comprehensive analysis was done. Results The treatment of radial head fracture includes non-surgical treatment and surgical treatment, which was primarily guided by the Mason classification system. Non-surgical methods should be selected in patients of Mason type 1 radial head fractures; Mason type 2 radial head fractures could be treated by open reduction and internal fixation, fixation devices include Kir-shner wires, screws and plate, etc; Mason type 3 radial head fractures treated by radial head excision and Mason type 4 radial head fractures treated by radial head arthroplasty. Conclusion Radial head fractures are the most common type of elbow fractures, choosing different, treatment strategies based on the Mason classification system can achieve the desired outcome.
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