摘要
目的：探讨成人肱骨远端骨折手术内固定的方法及临床疗效。方法：对126例肱骨远端骨折患者，按照不同的骨折类型采用不同的手术内固定方法，并进行相应的功能锻炼，定期随访术后骨折愈合及关节功能恢复情况。结果：126例肱骨远端骨折患者骨折均愈合完好，关节功能优良率迭93．65％，各种不同手术内固定方法术后肘关节功能恢复比较差异无显著性（P〉0．05）。结论：对于远端较复杂C型骨折采用切开复住平行双铜板螺丝钉固定或Y形钢板固定，对于B型骨折选用2—3枚拉力钉穿透对侧皮质固定或用单侧钢板固定，A型骨折用足够长的螺丝钉穿过对侧皮质固定，可获得坚强的内固定，肘关节功能恢复效果满意。
Objective To investigate the adult distal humerus fracture fixation and clinical efficacy. Methods 126 cases of distal humerus fractures in patients with different types of fractures according to different methods of surgical fixation, and the corresponding functional training, regular follow-up fracture healing and joint function after recovery. Results 126 patients with fractures of distal humerus fractures were healed in good condition, excellent rate of 93.65% joint function, a variety of different surgical methods of internal fixation of elbow joint function recovery after surgery was no significant difference （P〉 0.05）. Conclusion For the more complex C-type distal fractures with open reduction and parallel double plate screws or Y-shaped plate, for use 2-3 pieces of B-type fracture of the contralateral cortex through the fixed pulling nails or plate fixation with a unilateral, A-type fracture with screws long enough through the cortex of fixed, get a strong fixation, elbow joint function recovery results were satisfactory.
关键词
肱骨
远端
骨折
分型
固定
手术
humerus
distal
fracture
classification
fixed
surgery
