摘要
目的 探讨浮动肘及其合并症的治疗方法。方法 对18例浮动肘损伤患者的病因以及骨折和并发症的治疗进行分析、总结。结果 浮动肘常常是严重暴力作用的结果,往往合并肢体神经及全身其他重要脏器损伤。本组18例患者术后随访8个月～7年,13例骨折正常愈合,3例延迟愈合,2例骨折不愈合者经自体骼骨植骨后愈合。3例尺神经损伤,一期吻合后功能恢复良好。结论 浮动肘往往合并有肢体神经损伤及其他重要脏器损伤,积极治疗全身并发症的同时争取骨折早期内固定,如有神经离断性损伤宜一期吻合。
Objective To explore treatments of floating elbow and it, s complications. Methods The author analysed and summarized the causes and treatments to fractures and complications in all of 18 cases . Results Floating elbow often resulted from serious violence, usually complicated with limb nerves and other vital vicera injuries . After 8 months to 7 years , follow - up , of all the 18 cases , 13 cages got bone union, 3 delayed union, 2 non - union (after auto - ilium - graft, got bone union ) , 3 accompanied with ulnar or radial nerve injuries achieved excellent recovery after primary repair. Conclusion Floating elbow, usually complicated with limb nerves and other vital vicera injuries , must be treated with early internal fixation during active anagement of systemic comlications. If neural dissected injuries exists primary reanastomosis is suitable.
出处
《浙江创伤外科》
2001年第2期79-80,共2页
Zhejiang Journal of Traumatic Surgery
