切开复位双重建钛板内固定治疗青壮年肱骨远端粉碎性骨折

Double plates internal fixation for comminuted distal humeral fracture in young adults

目的探讨青壮年肱骨远端粉碎性骨折的手术治疗方法及疗效。方法回顾性总结2003年6月至2009年6月期间采用手术切开复位双侧重建钛板90度成角内固定治疗肱骨远端双柱骨折41例，其中37例患者获得术后随访（15～35个月），平均随访25个月，应用Cassebaum方法评定术后疗效。结果以上病例骨折均获得愈合，其中优14例，良19例，可3例，差1例，优良率达87．2％。结论早期行切开复位双侧重建钛板90度成角固定配合术后无痛状态下早期活动是成功治疗青壮年肱骨远端粉碎性骨折的关键点。

Objective To evaluate the clinical efficacy of double plates internal fixation for cornminuted distal humeral fracture in young adults. Methods From June 2003 to June 2009,41 patients（ 18 females and 23males）with distal humeral fracture underwent open reduction and internal fixation with double plates in our hospital. Thirty - seven patients were followed up for 14 to 35 mon（ average 25 mon）. Clinical outcomes were evaluated according to the Cassebaum criteria. Results Bone union was achieved in all the 37 patients. The efficacy was excellent in 14 patients, good in 9 patients, fair in 3 patients, poor in 1 patient. The overall satisfactory rate was 87.2%. Conclusion Early internal fixations with double narrow plates in combination with rehabilitation program is the key for the successful treatment of humeral shaft fractures.