摘要
目的探讨应用AO双重建钛板治疗肱骨髁间粉碎性骨折的疗效。方法2003年5月-2008年3月手术治疗肱骨髁间粉碎性骨折32例,AO/ASIF分类：C1型7例,C2型19例,C3型6例。所有病例行后路经肱三头肌两侧入路或经尺骨鹰嘴截骨,使用AO双重建钛板内固定。术后尽早行肘关节的主动功能锻炼。结果32例随访6-36个月,骨折全部愈合。根据Cassebaum法评分,优17例,良10例,可5例;优良率84.4%。结论AO双重建钛板治疗肱骨髁间粉碎性骨折是目前治疗肱骨髁间粉碎性骨折的较好方法,有利于肘关节早期运动,恢复肘关节的功能。
Objective To study the effects of AO double plates in internal fixation of humeral intercondylar fractures.Methods From May.2003 to Mar.2008,32 cases of humeral intercondylar fractures were reviewed.According to AO /ASIF classification,type C1 in 7 cases,type C2 in 19 cases,and type C3 in 6 cases.Posterior operating approach of elbow： trans-olecranon osteotomy or trans-triceps approach and internal fixation by standard method of AO double plates were performed in all cases.The patients began the active training of elbow joint as soon as possible postoperatively.Results All cases were followed up for 6-36 months.Bone union was obtained in all cases.According to the Cassebaum scoring system,the effects were evaluated as excellent in 17 cases,good 10,and fair 5,and the excellent and good rate was 84.4%.Conclusion The application of AO double plates for humeral intercondylar fractures can easily get anatomical reduction,stable fixation and earlier exercise.
出处
《创伤外科杂志》
2010年第1期47-48,共2页
Journal of Traumatic Surgery
关键词
肱骨骨折
内固定
肘关节
humeral fracture
internal fixation
elbow joint
