{"title":"关节镜下复位不固定Broberg & Morrey型桡骨头骨折伴机械旋转阻断：一项倾向评分匹配的病例对照研究","authors":"Yanmao Wang, Shiyang Yu, Jian Ding, Shengdi Lu","doi":"10.3389/fsurg.2025.1680368","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>To evaluate arthroscopic reduction without fixation (ARnF) for Broberg & Morrey Type II radial head fractures presenting with a mechanical block to forearm rotation.</p><p><strong>Methods: </strong>We reviewed 11 patients with Broberg & Morrey Type II radial head fractures and a mechanical rotation block treated with ARnF. Clinical outcomes included elbow range of motion (ROM), the American Shoulder and Elbow Surgeons (ASES) score, and the Disabilities of the Arm, Shoulder and Hand (DASH) score. Outcomes were compared with those of patients who underwent arthroscopic reduction and internal fixation (ARIF) using cannulated screws at 6 weeks, 12 weeks, and 1 year postoperatively.</p><p><strong>Results: </strong>Eleven patients were included (7 male; mean age 33.6 years). All showed significant postoperative improvement. At each follow-up, mean ROM and both functional scores (ASES and DASH) in the ARnF group were comparable to those in the ARIF cohort.</p><p><strong>Conclusion: </strong>or Broberg & Morrey Type II radial head fractures with a mechanical rotation block, ARnF achieved outcomes comparable to ARIF while avoiding implant costs and implant-related risks.<b>Clinical Trial Registration</b>: https://www.chictr.org.cn/, identifier (ChiCTR2000035958).<b>Level of Evidence:</b> LEVEL III; Treatment study; Case control study.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1680368"},"PeriodicalIF":1.6000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487719/pdf/","citationCount":"0","resultStr":"{\"title\":\"Arthroscopic reduction with non-fixation for Broberg & Morrey type II radial head fracture with mechanical rotation block: a propensity score-matched case-control study.\",\"authors\":\"Yanmao Wang, Shiyang Yu, Jian Ding, Shengdi Lu\",\"doi\":\"10.3389/fsurg.2025.1680368\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aims: </strong>To evaluate arthroscopic reduction without fixation (ARnF) for Broberg & Morrey Type II radial head fractures presenting with a mechanical block to forearm rotation.</p><p><strong>Methods: </strong>We reviewed 11 patients with Broberg & Morrey Type II radial head fractures and a mechanical rotation block treated with ARnF. Clinical outcomes included elbow range of motion (ROM), the American Shoulder and Elbow Surgeons (ASES) score, and the Disabilities of the Arm, Shoulder and Hand (DASH) score. Outcomes were compared with those of patients who underwent arthroscopic reduction and internal fixation (ARIF) using cannulated screws at 6 weeks, 12 weeks, and 1 year postoperatively.</p><p><strong>Results: </strong>Eleven patients were included (7 male; mean age 33.6 years). All showed significant postoperative improvement. At each follow-up, mean ROM and both functional scores (ASES and DASH) in the ARnF group were comparable to those in the ARIF cohort.</p><p><strong>Conclusion: </strong>or Broberg & Morrey Type II radial head fractures with a mechanical rotation block, ARnF achieved outcomes comparable to ARIF while avoiding implant costs and implant-related risks.<b>Clinical Trial Registration</b>: https://www.chictr.org.cn/, identifier (ChiCTR2000035958).<b>Level of Evidence:</b> LEVEL III; Treatment study; Case control study.</p>\",\"PeriodicalId\":12564,\"journal\":{\"name\":\"Frontiers in Surgery\",\"volume\":\"12 \",\"pages\":\"1680368\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487719/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3389/fsurg.2025.1680368\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fsurg.2025.1680368","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
Arthroscopic reduction with non-fixation for Broberg & Morrey type II radial head fracture with mechanical rotation block: a propensity score-matched case-control study.
Aims: To evaluate arthroscopic reduction without fixation (ARnF) for Broberg & Morrey Type II radial head fractures presenting with a mechanical block to forearm rotation.
Methods: We reviewed 11 patients with Broberg & Morrey Type II radial head fractures and a mechanical rotation block treated with ARnF. Clinical outcomes included elbow range of motion (ROM), the American Shoulder and Elbow Surgeons (ASES) score, and the Disabilities of the Arm, Shoulder and Hand (DASH) score. Outcomes were compared with those of patients who underwent arthroscopic reduction and internal fixation (ARIF) using cannulated screws at 6 weeks, 12 weeks, and 1 year postoperatively.
Results: Eleven patients were included (7 male; mean age 33.6 years). All showed significant postoperative improvement. At each follow-up, mean ROM and both functional scores (ASES and DASH) in the ARnF group were comparable to those in the ARIF cohort.
Conclusion: or Broberg & Morrey Type II radial head fractures with a mechanical rotation block, ARnF achieved outcomes comparable to ARIF while avoiding implant costs and implant-related risks.Clinical Trial Registration: https://www.chictr.org.cn/, identifier (ChiCTR2000035958).Level of Evidence: LEVEL III; Treatment study; Case control study.
期刊介绍：
Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles.
Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery.
Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact.
The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
