摘要
目的 探索肱骨远端C形骨折手术治疗方法及疗效。方法 对4年内手术治疗的33例肱骨远端C型骨折进行回顾性分析，平均年龄37．4岁，平均随访时间18个月，对手术前后X线片及肘关节功能等方面进行分析。结果 优和良23例（69．1％），一般8例（24．5％），差2例（6．4％）。肘关节活动范围93．4°±12．6°（40°～120°）。22例（66．7％）恢复术前活动和工作，25例（75．7％）对疗效满意。结论 手术坚强内固定治疗肱骨远端骨折是可靠有效的治疗方法，在多数病例能取得优良结果。
：Objective To evaluate the functional outcome following internal fixation of intraarticular fractures of the distal humerus （AO Type C）. Methods A retrospective evaluation was carried out. Thirty-three patients with fractures of the distal humerus were treated over a 4 years period. Their mean age was 37.4 years. Analysis of the results was based on the medical records, preoperative and postoperative radiographs and clinical review at a mean follow-up of 18 months. Radiographic evaluation of the quality of reduction was carried out using a grading system. Clinical outcome was assessed using the Mayo elbow performance index. Results Twenty-three patients （69. 1%） had an excellent or good outcome, 8 patients （24. 5%） a fair outcome and 2 patients （6.4%） had a poor result. The mean arc of flexion was 93.4°±12.6°（range 40°-120°）. Twenty-two patients （66.7%） were able to return to their pre-injury level of occupation and activity. Twenty-five patients （75.7%） were satisfied with the final outcome. Conclusion Internal fixation of intraarticular fractures of the distal humerus is an effective procedure with an excellent or good functional outcome in most patients.
出处
《重庆医学》
CAS
CSCD
2007年第12期1169-1170,共2页
Chongqing medicine
关键词
内固定
髁间骨折
肱骨
internal fixation
intercondylar fracture
humerus
