摘要
目的探讨经尺骨鹰嘴截骨入路双钢板固定治疗肱骨远端C型骨折的疗效。方法选择2008年7月-2010年4月经尺骨鹰嘴截骨入路、双钢板治疗肱骨远端C型骨折患者19例，其中男11例，女8例；年龄27～71岁，平均49．2岁。致伤原因：交通伤10例，摔伤7例，高处坠落伤2例。骨折按AO/美国骨创伤协会（OTA）分型标准：C2型9例，C3型10例。合并尺神经损伤2例，桡神经损伤1例。结果术后切口均I期愈合。19例均获随访，时间12～20个月，平均15．9个月。X线片示骨折与鹰嘴截骨于术后8～18周愈合，平均12周。随访期间无内固定失败、骨化性肌炎、畸形愈合及延迟愈合、不愈合发生。末次随访时Mayo肘关节评分（Mayo elbow performance score，MEPS）为75～100分，平均94．8分；优14例，良3例，一般2例，优良率为90％。结论经尺骨鹰嘴截骨入路双钢板固定治疗肱骨远端粉碎骨折，具有内固定坚强、可以早期功能锻炼等优点，术后疗效满意。
Objective To evaluate effect of construction with dual plates via olecranon osteotomy approach in treatment of type C distal humeral fractures. Methods The study involved 19 patients with type C distal humeral fractures treated by olecranon osteotomy and double plate fixation between July 2008 and April 2010, including ll males and 8 females at a mean age of 49.2 years （range, 27-71 years）. Fractures were causes by traffic accidents in 10 patients, tumble in seven and fall from height in two. According to Association for Osteosynthesis/Orthopaedie Trauma Association （AO/OTA） classification, there were nine patients with type C2 and 10 with type C3 fractures. Besides, two patients were complicated by ulnar nerve injuries and one by radial nerve injury. Results Primary wound healing was achieved in all patients after operation. All patients were followed up for average 15. 9 months （range, 12-20 months）. X-ray films revealed that both fracture and olecranon osteotomy sites were healed in average 12 weeks （range, 8-18 weeks）. No fixation failure, myositis ossificans, malunion, delayed union or disunion occurred during the follow-up. Average Mayo elbow performance score （MEPS） was 94.8 points （range, 75-100 points） at the last follow-up, which showed excellent results in 14 patients, good in three, and fair in two, with excellence rate of 90%. Conclusions Double plate fixation via olecranon osteotomy gains advantages of solid fixation and early functional exercise in treatment of comminuted intercondylar fractures of humerus. Moreover, postoperative outcome is satisfactory.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2013年第5期407-410,共4页
Chinese Journal of Trauma
关键词
肘关节
肱骨骨折
鹰嘴
Elbow joint
Humeral fractures
Oleeranon
作者简介
顾海伦，电话：18940257206，Email：guhailun@sJ—hospital．org
通信作者：杨军，电话：18940251155，Email：yangjunl@sj—hospital．org
