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经尺骨鹰嘴截骨双侧锁定加压钢板内固定治疗C型肱骨远端骨折 被引量:7

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摘要 目的总结经尺骨鹰嘴截骨双侧锁定加压钢板治疗C型肱骨远端骨折的疗效。方法2008年9月-2013年5月,采用经尺骨鹰嘴截骨双侧锁定加压钢板固定治疗21例C型肱骨远端骨折患者。其中男12例,女9例;年龄18~64岁,平均38岁。致伤原因:跌伤7例,交通事故伤14例。均为新鲜闭合骨折。根据国际内固定研究协会(AO/ASIF)分型:C1型9例,C2型6例,C3型6例。受伤至手术时间5~11d,平均7d。结果术后患者切口均Ⅰ期愈合,无感染及神经损伤发生。21例均获随访,随访时间7~24个月,平均16个月。2例于术后6个月发生异位骨化,术后1年行异位骨化切除,功能无明显改善。患者骨折均愈合,愈合时间6~10个月,平均7.8个月。随访期间内固定物无松动、断裂及失效发生。术后6个月肘关节活动范围为60~136°,平均110°。术后6个月根据Mayo肘关节功能评分,获65~95分,平均87分;其中16例,良1例,中4例,优优良率为80%。结论双侧锁定加压钢板治疗C型肱骨远端骨折固定牢固,利于术后肘关节功能恢复。
出处 《中国修复重建外科杂志》 CAS CSCD 北大核心 2013年第11期1404-1405,共2页 Chinese Journal of Reparative and Reconstructive Surgery
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参考文献9

  • 1Robinson CM, Hill RM, Jacobs N, et ah Adult distal humeral me-taphyseal fractures: epidemiology and results of treatment. J OrthopTrauma, 2003, 17(1): 38-47.
  • 2Ring D, Jupiter JB. Fractures of the distal humerus. Orthop Clin NorthAm, 2000,31(1): 103-113.
  • 3陈志发,袁慧仪,梁加利.锁定加压钢板内固定治疗老年肱骨远端骨折(英文)[J].中国修复重建外科杂志,2009,23(11):1285-1289. 被引量:12
  • 4Constant CR, Murley AH. A clinical method of functional assess-ment of the shoulder. Clin Orthop Relat Res, 1987, (214): 160-164.
  • 5AliAM, Hassanin EY, El-Ganainy AE, et al. Management of intercon-dylar fractures of the humerus using the extensor echanism-sparingparatrici pital posterior approach. Acta Orthop Belg, 2008, 74(6): 747-752.
  • 6Erpelding JM, Mailander A, High R, et al. Outcomes following distalhumeral fracture fixation with an extensor mechanism-on approach. JBone Joint Surg (Am), 2012, 94(6): 548-553.
  • 7Wilkinson JM, Stanley D. Posterior surgical approaches to the elbow: acomparative anatomic study. J Shoulder Elbow Surg, 2001,10(4): 380-382.
  • 8Ruan HJ, Liu JJ, Fan CY, et al. Incidence, management, and prognosisof early ulnar nerve dysfunction in type C fractures of distal humerus. JTrauma, 2009,67(6): 1397-1401.
  • 9Chen RC, Harris DJ, Leduc S, et al. Is ulnar nerve transposition ben-eficial during open reduction internal fixation of distal humerus frac-tures. J Orthop Trauma, 2010, 24(7): 391-394.

二级参考文献27

  • 1Jupiter JB, Morrey BF. Fractures of the distal humerus in the adult// Morrey BF. The Elbow and its Disorders. 2nd ed. Philadelphia: WB Saunders, 1993: 328-336.
  • 2Robinson CM, Hill RM, Jacobs N, et al. Adult distal humeral metaphyseal fractures: epidemiology and results of treatment. J Orthop Trauma, 2003,17(9): 38-47.
  • 3Palvanen M, Kannus P, Niemi S, et al. Secular trends in the osteoporotic fractures of the distal humerus in elderly women. Eur J Epidemiol, 1998, 14(2): 159-164.
  • 4Ring D, Jupiter JB. Fractures of the distal humerus. Orthop Clin North Am, 2000, 31(1): 103-113.
  • 5Pereles TR, Koval KJ, Gallagher M, et al. Open reduction and internal fixation of the distal humerus: functional outcome in the elderly. J Trauma, 1997, 43(4): 578-584.
  • 6Jupiter JB, Mehne DK. Fractures of the distal humerus. Orthopedics,1992, 15(7): 825-833.
  • 7Jupiter JB, Neff U, Holzach P, et al. Intercondylar fractures of the humerus. An operative approach, J Bone Joint Surg (Am), 1985, 67(2): 226-239.
  • 8Huang TL, Chiu FY, Chuang TY, et al. Surgically treatment of acute displaced fractures of adult humerus with reconstruction plate. Injury, 2004, 35 (11): 1143-1148.
  • 9Huang TL, Chiu FY, Chuang TY, et al. The results of open reduction and internal fixation in elderly patients with severe fractures of the distal humerus: a critical analysis of the results. J Trauma, 2005, 58(1): 62-69.
  • 10Imatani J, Ogura T, Mortio Y, et al. Custom AO small T plate for transcondylar fractures of the distal humerus in the elderly. J Shoulder Elbow Surg, 2005, 14(6): 611-615.

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