摘要
肱骨髁间骨折为少见、难治性骨折。在影响手术效果的诸多因素中，手术入路是人们关注的方面之一。作者采用经尺骨鹰嘴截骨肘后入路显露的方法治疗该骨折１２例，其中男５例，女７例，平均年龄３１．２岁。按照ＡＯ／ＡＳＩＦ分类：Ｃ１２例，Ｃ２２例，Ｃ３８例。其中包括开放骨折２例。１０例经５～４２个月随访（平均１４个月），以Ｃａｓｂａｕｍ方法评价，优４例，良４例，可１例，功能明显障碍１例，未见截骨面愈合障碍。作者认为该方法显露广泛，特别适于复杂骨折的整复操作，术后粘连、僵硬程度轻，伸肘结构连续性的重建坚固，有利于术后早期功能活动，为进一步恢复功能创造了条件。
The intercondylar fractures of the humerus are rare and difficult to be treated.One of many factors that influnce the effects of the operation is its approach.12 patients with intercondylar fractures of humerus were treated by the trans olecranon approach for open reduction.There were 5 men and 7 women,with a mean of 31.2 years of age. Fractures were classified by AO/ASIF's method (C1 two,C2 two, C3 eight).There were two open fractures and 10 close fractures.With an average of 14 months follow up,by use of Cassbaum's rating system,there were 4 excellent,4 good, one fair and one poor.Two lost follow up.The authors believe that the trans olecranon approach for open reduction gives the following advantages:(1)The technique provides adequate exposure for visualization and reconstruction of the involved joint,and leads to a light adhesion and stiffness postoperatively.(2)A proper repair of the osteotomy of the olecranon will be strong enough for the early active postoperative mobilization.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1997年第8期504-506,共3页
Chinese Journal of Orthopaedics
