摘要
目的探讨尺骨鹰嘴截骨双钢板内固定治疗青壮年C型肱骨髁间骨折的临床疗效。方法回顾性分析2008年10月～2012年4月收治并获得随访的26例C型肱骨髁间骨折患者的临床资料,男性16例,女性10例;年龄19～54岁,平均40.5岁。骨折类型按AO/ASIF分类为:C1型5例,C2型14例,C3型7例,全部采用经尺骨鹰嘴截骨双钢板内固定治疗。结果术后随访6～38个月,平均15个月,最后一次随访时骨折及截骨处均全部骨性愈合。肘关节功能根据Mayo法评分为55～100分,平均84.42分,其中优(90～100分)10例,良(75～89分)12例,可(60～74分)2例,差(<60分)2例;优良率为84.6%。结论经尺骨鹰嘴截骨显露充分,双钢板内固定牢靠,允许早期进行肘关节功能锻炼,可获得满意的临床疗效。
Objective To evaluate the clinical outcome of olecranon osteotomy and double - plate fixation for type C intercondylar fractures of the distal humerus in young adults. Methods Twenty-six patients with AO/ ASIF type C fractures of the distal humerus （ 5 eases type C1,14 cases type C2, and 7 cases type C3 ） ,who were ad- mitted into our hospital from Oct. 2008 to Apr. 2012, were treated with olecranon osteotomy approach and double- plate fixation. There were 16 males and 10 females. The mean age was 40. 5 years with a range of 19 to 54 years. Results All the patients were followed up for 6 to 38 months with an average of 15 months. All the osteotomies and fractures healed in the last following-up. According to the Mayo Elbow Performance Score system, there was ex- cellent（90-100） in 10 cases,good（75-89） in 12 cases,fair（60-74） in 2 cases,and poor{ 〈60） in 2 cases. The excellent and good rate was 84. 6%. Conclusion The olecranon osteotomy approach in combined with double- plate fixation is one of the good choices for surgical treatment of type C intercondylar fractures of the distal humerus in young adults, since it can provide excellent exposure and solid fixation, permit early rehabilitation, and obtain sat- isfactory clinical outcomes.
出处
《创伤外科杂志》
2013年第3期226-229,共4页
Journal of Traumatic Surgery
关键词
肱骨髁间骨折
钢板
内固定
intercondylar fracture of humerus
plates
internal fixation
