摘要
目的探讨双钢板治疗肱骨髁间骨折的疗效。方法采集2009～2012年滁州市第一人民医院采用双钢板内固定技术治疗肱骨髁间骨折病例15例。按照AO/ASIF分型:C1型4例、C2型8例、C3型3例。术中行尺骨鹰嘴截骨显露肱骨髁间者13例,肱三头肌舌形瓣显露者2例。按照先处理髁间骨折,再处理髁上骨折的原则进行复位与固定。术后用改良Cassebaum评分系统评定肘关节术后疗效。结果 15例患者随访8～24个月,平均13个月,骨折全部愈合,术后疗效评定结果为优4例、良7例、可3例、差1例。优良率为73%。后4例与骨折复位不良,术后功能锻炼不配合有关。其中2例行肘关节松解术,功能达到良。结论双钢板固定肱骨髁间骨折能提供坚强的稳定性,有利于早期功能锻炼,是治疗肱骨髁间骨折有效方法。
Objective To investigate the effect of double plates in the treatment of humeral intercondylar fractures. Methods From 2009 to 2012 15 patients with intercondylar fractures of humerus were treated with double plate internal fixation. According to the classification of AO/ASIF type there were 4 cases of C1 type 8 cases of C2 type and 3 cases of C3 type. Using Cassebaum scoring system to assess the elbow postoperative effects. Results 15 patients were followed up for 8 -24 months, average 13 months,fractures were all healed, with 4 cases were excellent,7 cases good, and 3 cases median, and 1 case poor. Conclusion Double plates was proved to be a effective choice for humeral intercondylar fractures, since it can provide strong stability and conducive to the early exercise.
出处
《中华全科医学》
2013年第5期698-699,共2页
Chinese Journal of General Practice
关键词
双钢板
肱骨髁间骨折
骨折固定术
Double plate
Intercondylar fractures of the humeral
Fracture fixation
