摘要
目的研究成人肱骨髁间骨折的内固定治疗效果。方法方便选取该院2015年2月—2017年3月收治的成人肱骨髁间骨折患者48例分两组各为24例,普通组给予普通钢板进行内固定治疗;双锁定钢板组采用双锁定钢板进行内固定治疗。就两组患者内固定手术时间、手术中出血量、平均住院时间、前臂旋转度、肘关节屈伸度、肘关节功能评分和肘关节功能恢复优良率、手术后并发症发生率进行比较。结果双锁定钢板组肘关节功能恢复优良率95.83%明显高于普通组75.00%(P<0.05)。双锁定钢板组手术后并发症发生率明显低于普通组(P<0.05)。其中,普通组4例尺神经损伤,3例切口皮肤坏死,1例钢板断裂。双锁定钢板组患者内固定手术时间、手术中出血量、平均住院时间、肘关节功能评分、肘关节屈伸度、前臂旋转度(109.74±21.13)min、(456.14±102.53)m L、7.13±1.92)d、(95.02±5.53)分、(109.46±7.35)°、(150.52±8.92)°均明显优于普通组(147.14±30.01)min、(542.91±110.72)m L、9.13±1.57)d、(86.11±2.62)分、(90.56±4.89)°、(131.26±7.57)°(P<0.05)。结论成人肱骨髁间骨折采用双锁定钢板进行内固定治疗的效果优于普通钢板治疗,可有效改善患者关节活动度和关节功能,减少手术后并发症发生,缩短手术时间,减少出血,效果确切,值得推广。
Objective To research the effect of internal fixation in treatment of intercondylar fractures of humerus. Methods48 cases of adults with intercondylar fractures of humerus admitted and treated in our hospital from February 2015 to March2017 were convenient selected and divided into two groups with 24 cases in each, the common group and the two locking plate group adopted the common plate and two locking plate for internal fixation, and the operation time, intraoperative bleeding amount, average length of stay, forearm rotation degree, elbow joint flection and extention degree, elbow joint function score and elbow joint function recovery excellent and good rate and incidence rate of complications after surgery were compared between the two groups. Results The excellent and good rate of elbow joint function recovery in the two locking plate group was obviously higher than that in the common group(95.83% vs 75.00%)(P<0.05), and the incidence rate of complications after surgery in the two locking plate was obviously lower than that in the common group(P<0.05), and in the common group, there were 4 cases with ulnar nerve injury, 3 cases with incision cutaneous necrosis and 1 case with plate fractures, and the internal fixation operation time, intraoperative bleeding amount, average length of stay, elbow joint function score, elbow joint flexion and extension degree and forearm rotation degree in the two locking plate group were obviously better than those in the common group [(109.74±21.13) min,(456.14±102.53) m L,(7.13±1.92)d,(95.02±5.53)points, 109.46±7.35)°,(150.52±8.92)° vs(147.14±30.01) min,(542.91±110.72)m L,(9.13±1.57)d,(86.11±2.62)points,(90.56 ±4.89)°,(131.26 ±7.57)° ](P <0.05). Conclusion The effect of two locking plate internal fixation in treatment of adults with intercondylar fractures of humerus is better than that of common plate treatment, which can effectively improve the joint activity degree and joint function, reduce the occurrence of postoperative complications, shorten the operation time,reduce the bleeding and the effect is definite, and it is worth promotion.
出处
《中外医疗》
2017年第20期53-55,共3页
China & Foreign Medical Treatment
关键词
成人肱骨髁间骨折
内固定
治疗效果
Adults with intercondylar fractures of humerus
Internal fixation
Treatment effect
