双钢板固定治疗成人肱骨髁间粉碎性骨折效果观察

Effect internal fixation of adult humeral intercondylar fracture by Double-plates

目的分析双钢板同定治疗成人肱骨髁间骨折的疗效。方法对我院2002年8月-2009年3月期间27例成人肱骨髁粉碎性骨折行切开复位双钢板固定治疗的患者进行随访分析。结果全部27例患者均得到随访，随访时间6～48个月，平均21-2个月，骨折全部愈合，术后患肢功能按Cassebaum法评分：优18例，良5例，可4例，优良率85．2％。结论双钢板固定法能使成人髁间粉碎性骨折得到稳定的固定，利于患肢行早期功能锻炼，是治疗成人肱骨髁间粉碎忡骨折的掂好的方法．

Objective To analyze the effects of double-plates in internal fixation of adult humeral intercondylar fractures. Methods From August 2002 to March 2009, 27 patients of adult humeral intercondylar fractures were reviewed. All the cases were treated with open reduction and internal fixation by double plates, and were followed up after discharge. Results The patients were followed up from 6 months to 48 months with an average of 21.2 months. Bone union was obtained in all cases.According to the Cassebaum scoring system, the effects were evaluated as excellent18.good 5, and fair 4, and the excellent枧ood rate was 85.2%.Conclusion Double-plate fixation of adult humeral condylar fracture can provide the stability and permit early exercise. It is the better method to treat adult humeral condylar fracture.