摘要
目的探讨肘后正中入路Y型解剖钢板治疗肱骨髁上骨折的方法和疗效。方法采用肘后正中切口Y型解剖钢板内固定治疗成人肱骨髁上骨折26例,术后早期功能锻炼。结果 26例均获得随访,时间6-18个月。术后发生伤口浅表感染3例,无肘内外翻畸形发生。骨折全部愈合,愈合时间6-16个月。按照Cassebaum方法评价肘关节功能：优18例,良6例,可2例。结论肘后正中切口Y型钢板治疗成年肱骨髁上骨折具有固定牢靠、允许早期功能锻炼、关节功能恢复快、并发症少等优点。
Objective To study and explore the methods and effect of treatment of supracondylar humerus fracture in adults with Y plate by median incision of posterior elbow.Methods 26 patients with supracondylar humerus fractures were treated with Y plate by median incision of posterior elbow.Early functional exercises were encouraged after operation.Results All 26 patients obtained follow up for 6 to 18 months after operation and all fractures were union after 6 to 16 months.Functional outcome of elbow joint were evaluated by Cassebaum system,18 patients obtained excellent results,6 good and 2 fair.3 got superfacial infection.No cubital varus was found.Conclusions Treatment of supracondylar humerus fracture with Y plate and median incision approach of posterior elbow can provide rigid fixation,early mobilization and low incidents of complications and obtained satisfactory function outcome.
出处
《临床骨科杂志》
2011年第2期150-151,154,共3页
Journal of Clinical Orthopaedics
关键词
肱骨髁上骨折
手术入路
Y钢板
成年人
supracondylar humerus fracture
surgical approach
Y plate
adults
