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经尺骨鹰嘴截骨入路克氏针钢丝双张力带法治疗C_3型肱骨髁间骨折

Through cutting anconeal process of ulna by a pair of kirschner wire and steel-wire for C_3 condyle of humerus fracture
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摘要 目的:探讨经尺骨鹰嘴截骨人路克氏针钢丝双张力带法固定C3型肱骨髁间骨折的手术方法及疗效。方法:2006年-2008年采用肘后侧经尺骨鹰嘴截骨入路克氏针钢丝双张力带法固定C3型肱骨髁间骨折10例。结果:临床应用10例,患者切口均Ⅰ期愈合,均获得随访10~14个月,无感染、皮肤坏死等手术并发症。肘关节按Aitken和Porabeek标准进行功能评定,其中优3例,良4例,可2例,差1例,优良率达70.0%,无一例退针。结论:经尺骨鹰嘴截骨入路克氏针钢丝双张力带法固定C3型肱骨髁间骨折是一种方法简便、疗效满意的手术方法。 Objective To discuss the surgical procedures and therapy of cutting anconeal process of ulna by a pair of kirschner wire and steel - wire for C3 condyle of humerus fracture. Method For 10 cases of C3 condyle of humerus fracture treated by cutting anconeal process of ulna by a pair of kirsclmer wire and steel - wire through outer margin of elbow from 2006 to 2008. Results Ten cases of C3 condyle of humerus fracture all closed up I grade. All cases were followed up 10 - 14 months, none were found infection or skin ecrose and other operative complications. According to Aitken and Porabeek criterion for curative elbow joint functional evaluation, the results were excellent in 3 cases, good in 4 cases, okay in 2 cases, and inferiority in 1 case, with the excellent and good rate of 70.0%. None of cases got lifting needle. Conclusion It is perfect and simple surgery through cutting anconeal process of ulna by a pair of kirsehner wire and steel - wire for C3 condyle of humerus fracture.
出处 《吉林医学》 CAS 2009年第9期786-787,共2页 Jilin Medical Journal
关键词 肱骨髁间骨折 截骨 内固定术 Condyle of humenus fracture Cutting bone Internal fixation
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