AO技术治疗肱骨髁间骨折

AO internal fixation treatment of intercondylar fracture of humeral

目的探讨AO技术手术治疗肱骨髁间骨折的疗效。方法1999年6月—2004年9月共手术治疗肱骨髁间骨折38例,进行随访分析。平均随访24个月后用改良Cassebaum评分系统对其疗效进行评定。结果术后疗效优14例,良17例,可4例,差3例,优良率为81.6%。结论骨折粉碎及移位程度直接影响预后。应尽早手术治疗,选用尺骨鹰嘴截骨入路,术中解剖复位,牢固固定,术后指导患者早期进行功能锻炼,是提高疗效的重要因素。

Objective To evaluate the results with intercondylar fracture treated with AO internal fixation. Methods Thirty-eight patients were treated from June 1999 to September 2004, and followed up for an average of 24 months. The curative effects were evaluated with modified cassebaum rating system. Results 14 cases were excellent ,17 cases were good,4 cases were fair and 3 cases were poor. The excellent and good rate was 81.6%. Conclusion The degree of comminution and displacement of fracture hinders the final result. Early operation, with osteufumy of the clecranon, anatomical reduction, rigid fixation and early exercise are the important factors that can improve the final result.