俯卧位双钢板内固定材料置入治疗肱骨中下段粉碎性骨折19例

Dual-plate internal fixation in prone position for treating comminuted fractures of middle and distal humerus in 19 cases

选择2005-01/2007-06中南大学湘雅三医院骨科应用俯卧位双钢板内固定材料置入治疗肱骨中下段骨折患者19例。男12例,女7例;年龄19～65岁,平均35.63岁。左侧10例,右侧9例。单纯骨折13例,合并桡神经挫伤6例。均为闭合性粉碎性骨折。所使用的内固定材料为肱骨金属解剖型接骨板,生产型号为YJQⅠ(重建)。平均随访10个月,所有病例均获骨性愈合,平均愈合时间3个月,没有延迟愈合、骨不连及伤口感染等并发症。Aitken和Rorabeek评分:优14例,良3例,可2例,差0例。优良率达到89.47%。

Nineteen patients with comminuted fractures in middle and distal humerus were treated by dual-plate internal fixation in the prone position in the Department of Orthopaedics, Xiangya Third Hospital of Central South University from January 2005 to June 2007. There were 12 males and 7 females. The average age of the patients was 35.63 years （range 19-65 years）, among which 10 cases were left and nine cases were right. All the cases were closed comminuted fractures and 13 cases of them were simple fracture while the other six cases with radical nerve injury. Humerus metal bone plate, with pattern number YJQⅠ （recondition）, was used in this study. All patients got the bone union in the average follow-up time of 10 months without complications such as delayed union, nonunion and wound infection. The average healing time was three months. Aitken and Rorabeek score： excellent in 14 cases, good in 3, common in 2, and poor in 0. Totally 89.47% of the patients achieved excellent and good effect.