经尺骨鹰嘴截骨入路治疗肱骨髁间骨折

Ulna olecranon resection approach for the treament of complex intercondylar fractuers of the humerus

目的探讨利用肘后正中切口并尺骨鹰嘴V形截骨入路治疗肱骨髁间骨折的效果。方法采用肘后正中切口并尺骨鹰嘴V形截骨入路治疗9例肱骨髁间骨折，其中男6例，女3例，年龄35～72岁，按AO分类C1型2例，C2型5例，C3型2例。结果9例骨折均愈合，术后早期功能锻炼一般为术后3～4d，无切口感染、肘内翻畸形及骨化性肌炎发生，肘关节功能优良率89％。结论该手术入路是治疗肱骨髁间骨折的理想选择。

Objective To explore the clinical results of posterior ulna olecranon V-shape resection for the treatment of complex intercondylar fractures of the humerus. Methods A total 9 patients, man 6 eases, female 3 eases,age 35-72,according to AO classification：C1 2 cases,C2 5 cases,C3 2 cases. Results All cases were primary healing, early exercise after operative time was 3- 4 days. There were no infection of incisional wound, cubitus varus and myositis ossificans. The excellent good rates of elbow joint was 89 %. Conclusion This operative approach is the ideal choise for the treatment of complex intercondylar fractures of the humerus.