双钢板治疗肱骨髁间粉碎性骨折临床疗效分析

Dual plating internal fixation for the comminuted humeral intercondylar fracture

目的探讨双钢板治疗肱骨髁间粉碎性骨折的临床疗效。方法回顾性分析采用双钢板内固定治疗肱骨髁间粉碎性骨折26例,术后按Jupiter肘关节评分系统对肘关节功能进行评价。结果所有患者术后均获得随访,随访时间为6～36月,平均24.6月。骨折愈合时间12～21周,平均14.9周。按Jupiter肘关节评分系统评价肘关节功能,优10例,良12例,尚可4例,优良率84.61%。无一例出现切口皮肤坏死、深部感染、内固定松动及断裂。1例发生异位骨化,1例尺骨鹰嘴截骨处发生延迟愈合。结论双钢板内固定治疗肱骨髁间粉碎性骨折固定牢靠,能有效的防止骨折不愈合,是一种不错的方法。详细的术前评估,合理的手术入路,术中适当植骨,术后积极的早期功能锻炼,是提高疗效的关键。

Objective To analyse elinical efficacy of dual Plating Internal Fixation for the eomminuted humeral intercondylar fracture. Methods Dual Plating Internal Fixation for the treatment of 26 comminuted humeral intereondylar fracture, Jupiter elbow score criterion was used to evaluate clinical efficacy after operation. Resulls All patients were followed up from 6 - 36 months, with an average of 24. 6 months. Fracture healing time were from 12 to 21 weeks, with an average of 14.9 weeks. According to Jupiter elhow score criterion, 10 eases were excellent, 12 eases in good, 4 case in fair the rates of excellent and good results was 84. 61%. None of the incision appears skin necrosis, deep infection, loosening and fracture fixa- tion, 1 ease of heterotopic ossification, 1 olecranon osteotomy delayed healing. Conclusion Dual Plating Internal Fixation for the eomminuted humeral intereondylar fracture fixed firmly, which can effectively prevent the fiaeture healing, is a good way. Detailed preoperative evaluation, a reasonable surgical approach, the appropriate bone graft surgery, postoperative positive early exercise is the key to improve the efficacy.