双钢板内固定治疗肱骨远端粉碎性骨折

Treatment of distal humerus extremity comminuted fracture by internal fixation with double plates

目的评价经鹰嘴截骨双钢板内固定治疗肱骨远端粉碎性骨折的疗效。方法对28例肱骨远端粉碎性骨折采取后路经鹰嘴截骨切口，开放解剖复位，双钢板内固定，术后早期功能锻炼。结果28例患者获得9～31个月的随访，用改良Cassebaum评分系统评价术后疗效，优10例，良12例，可5例，差1例，优良率78．57％（22／28）。结论经鹰嘴截骨双钢板内固定和早期的功能锻炼，不失为治疗肱骨远端粉碎性骨折的一种有效手段。

Objective To evaluate the effect of the distal humerus extremity comminuted fracture treated by double plates through olecranon osteotomy. Method Twenty-eight patients with humerus extremity comminuted fractures were fixed by double plates through olecranon oste0tomy followed by early functional exercise. Results All the cases were followed up 9-31 months. The curative effect was assessed by the method of modified Cassebaum rating system. The operation was excellent in 10 cases, good in 12 cases, fair in 5 cases, bad in 1 case. The excellent and good rate was 78.57%（22/28）. Conclusion Treatment of humerus extremity comminuted fractures by double plates through olecranon osteotomy foUowed by early functional exercise are excellent with satisfactory functional recovery.