摘要
目的探讨肱骨远端C3型骨折的入路选择及内固定钢板的放置方法。方法选择2004年1月至2010年11月我院收治的肱骨远端骨折患者56例,其中C3型骨折32例,全部采用经鹰嘴截骨显露肱骨远端,肱骨内外侧解剖钢板90°放置内固定的手术治疗。所有病例均随访9～15个月,平均11.3个月。结果 32例患者切口均一期愈合,所有骨折骨性愈合,无内固定松动及退针出现;未出现骨化性肌炎;按改良Broberg和Morrey评分系统,优18例,良9例,可4例,差1例,优良率为84.4%。结论经鹰嘴截骨、90°双钢板内固定治疗C3型骨折,具有暴露充分、直视下良好整复关节面、内固定坚强可靠的优点,能满足早期功能锻炼的要求,符合国际内固定研究协会关节内骨折的治疗原则,是一种治疗复杂性肱骨远端骨折的可靠方法。
Objective To explore the approaching choice of C3 type fracture of distal humerus and the placement method of internal fixation plate.Methods 56 patients admitted to our hospital from January 2004 to November2010,for the distal humerus fractures including 32 cases of C3 fractures,all received the olecranon osteotomy,lateral and medial anatomy of the humerus plate 90°fixation surgical treatment;all cases were followed up for 9 to 15 months with an average of 11.3 months.Results Incision of 32 patients healed in the first stage,all fractures healed and no internal fixation pin loosening and back,no myositis ossificans.According to the modified Broberg and Morrey scoring system,excellent in 18 cases,good in 9 cases,fair in 4 cases and poor in 1 case.Excellent and good rate was 84.4%.Conclusion The olecranon osteotomy,which can effectively heal C3 type fracture of distal humerus through the 90° internal fixation,is featured with the advantages of full exposion and good vision of the entire articular surface under direct sight,and strong and reliable fixation,which could meet the requirements of early exercise and become a reliable method in treating complex distal humerus fractures,in compliance with the internal fixation principle of Association for the Study of Internal Fixation.
出处
《医学综述》
2012年第7期1098-1099,共2页
Medical Recapitulate
关键词
肱骨远端
C3型骨折
鹰嘴截骨
双钢板内固定
Distal humerus
C3 type fracture
Olecranon osteotomy
Double-plate internal fixation
