摘要
目的:分析经尺骨鹰嘴截骨入路垂直双钢板治疗肱骨髁间C2、C3型骨折的效果。方法:选取2013年1月-2018年1月本院收治的30例肱骨髁间C2、C3型骨折患者并进行手术,手术选择经尺骨鹰嘴截骨入路,内固定方式均选择肱骨远端内外侧锁定钢板垂直放置内固定,术后对患者均进行了随访。结果:术后3个月随访时,采用Mayo肘关节评分系统对术后肘部功能恢复情况进行评价,优良率83.3%;术后1年随访,采用Cassebaum肘关节评分系统对术后肘部功能恢复情况进行评价,其中优良率为83.3%。结论:针对肱骨髁间C2、C3型骨折,经尺骨鹰嘴截骨入路垂直放置双钢板能进行有效的复位和内固定,结合围手术期ERAS理念的指导,术后患者肘关节功能恢复良好,临床疗效满意。
Objective:To analyze the curative effect of vertical double steel plate through olecranon osteotomy approach in the treatment of C2 and C3 intercondylar fractures of humerus.Method:A total of 30 patients with C2 and C3 intercondylar fractures of humerus admitted to our hospital from January 2013 to January 2018 were selected and operated,the surgical incision was selected through the olecranon osteotomy approach,the internal fixation method was to place the distal humerus medial-lateral locking plate vertically for internal fixation,all patients were followed up after operation.Result:After operation 3 months follow-up,the function recovery of elbow was evaluated by Mayo elbow scoring system,the excellent and good rate was 83.3%.During the one-year follow-up after operation,Cassebaum elbow scoring system was used to evaluate the recovery of elbow function after operation,and the excellent and good rate was 83.3%.Conclusion:For C2 and C3 intercondylar fractures of humerus,vertical placement of double plate through olecranon osteotomy approach can effectively reduce and fix them,combined with the guidance of ERAS concept in perioperative period,the elbow joint function of postoperative patients recover well and the clinical effect is satisfactory.
作者
李伟
LI Wei(Nan’an District Integrated Traditional Chinese and Western Medicine Hospital,Chongqing 400016,China)
出处
《中国医学创新》
CAS
2020年第3期136-139,共4页
Medical Innovation of China
关键词
尺骨鹰嘴截骨入路
垂直双钢板
肱骨髁间骨折
内固定
Olecranon osteotomy approach
Vertical double steel plate
Intercondylar fracture of humerus
Internal fixation
