摘要
目的：探讨尺骨鹰嘴截骨Y型钢板内固定治疗肱骨远端粉碎性骨折的方法及疗效。方法：采用尺骨鹰嘴截骨Y型钢板内固定治疗肱骨远端C型骨折16例,术后随访9~16个月,平均13.4个月。采用改良Cassebaum评分系统评价术后肘关节功能。结果：优5例,良8例,可2例,差1例,优良率82%,无骨折不愈合、切口感染等并发症发生。结论：经尺骨鹰嘴截骨Y型钢板内固定治疗肱骨远端C型骨折,显露良好,复位满意,固定牢固,可早期功能锻炼,肘关节功能恢复满意。
Objective：To explore the surgical management and results of comminuted fractures of the distal humerus through approach of osteotomy of olecranon with Y-shape plate.Methods：sixteen patients with C-type fractures of the distal humerus were treated surgically with Y-shape plate through approach of osteotomy of olecranon,followed up from 9 to 16 months（average 13.4 months）.According to Cassebaum scoring system,the function was assessedResults：5 cases were excellent,8 cases good,2 cases fair and 1 case poor,and the rate of good outcome was up to 82%.There was no complication such as infection.Conclusion：The technique of Y-shape plate for the surgical management of C-type fractures of the distal humerns through approach of osteotomy of olecranon offers many advantages,such as suffficient exposure,satisfied reduction,stable fixation,earlier exercise and good funcion.
出处
《牡丹江医学院学报》
2010年第5期19-21,共3页
Journal of Mudanjiang Medical University
关键词
肱骨骨折
骨折固定术
内
Y型钢板
humerus fractures
Fracture fixation
internal
Y-shape plate
