经鹰嘴截骨入路治疗肱骨髁间粉碎性骨折28例分析

Olecranon osteotomy in treatment of severe humeral intercondylar fracture:A report of 28 cases

目的：评价经鹰嘴截骨手术入路治疗肱骨髁间骨折的疗效与优缺点.方法：经鹰嘴截骨入路、Y钢板等内固定治疗肱骨髁间骨折28例，鹰嘴部截骨以克氏针加张力带钢丝固定.结果：随访6-34个月，骨折在术后6-20周愈合.用改良Aitken-Rorabeck评分系统进行疗效评定：优14例，良8例，中3例，差1例.结论：经鹰嘴截骨手术入路治疗肱骨髁间骨折是一种疗效较好的方法，利于骨折块暴露与固定及早期锻炼.但要需行鹰嘴部截骨，对手术技巧要求较高.

Objective ：To evaluate the advantage and disadvantage of the approach of olecranon osteotomy in treatment of the humeral intercondylar fracture. Methods： The approach of olecranon osteotomy was used to treat 28 patients with humeral intercondylar fractures. The ＂Y＂ steel plate was used to treat the humeral intercondylar fracture. The tension band was used to fix the artificial fracture of olecranon. Results ：The patients were followed up from 6 months to 34 months, 12 months on average. The fracture was healed in 6 to 20 weeks after the operation, 10 months on average. The curative effect was assessed by the method of the modified Aitken-Rorabeck graded system. The operation was excellent in 14 patients ;good in 8 ;fair in 3 ;bad in 1. The excellent and good rate was 85.7%. Conclusions： The approach of olecranon osteotomy in treatment of humeral intercondylar fracture is a good method although the olecranon osteotomy has to be performed. It was favorable for the exposure and fixation of the masses of the fracture and the early functional exercise.