平行放置解剖型双钢板内固定治疗肱骨远端C型骨折疗效分析

Efficacy of bilateral parallel anatomic plate fixation for type C distal humerus fractures

【摘要】目的探讨平行放置解剖型双钢板内固定治疗肱骨远端C型骨折的疗效。方法2009年1月至2013年12月，对26例肱骨远端C型骨折患者进行切开复位、平行放置解剖型双钢板内固定治疗。根据国际内固定研究学会（A0）分型，c1型12例，C2型8例，C3型6例。术后1周开始功能锻炼。根据肘关节功能恢复情况、影像学检查及Aitken-Rorabeek肘关节功能评定标准对手术疗效进行评价。结果所有患者均获得随访，随访时间为平均8．3个月（6～12个月），结果显示骨折均愈合，且肘关节功能恢复满意．根据Aitken—Rorabeek肘关节功能评定标准，优14例，良9例，可3例，总优良率为88．5％。所有患者均未发生术后感染、内固定失败等。结论平行放置解剖型双钢板内固定治疗肱骨远端C型骨折疗效满意，其是治疗肱骨远端C型骨折的理想术式。

Objective To investigate the efficacy of bilateral parallel anatomic plate fixation for type C distal humc fractures. Methods From January 2009 to December 2013, 26 cases with type C distal humerus fractures were treated of o reduction and bilateral parallel anatomic plate fixation. There were 12 cases for type C1, 8 cases for type C2, 6 cases for type according to Assodation for the Study of Internal Fixation （AO） classification. After one week postoperatively, all the pati~ began to function exercise. The follow-up included elbow functional recovery, radiologic examination, Aitken and Rorabeek elk functional evaluation criteria. Results 26 patients were followed up for a mean period of 8. 3 months （6 to 12 months）, fractures were healed. Elbow functional recovery of all the cases was satisfactory. According to Aitken and Rorabeek elbow functional evaluation criteria, 14 cases were graded as excellent, 9 cases as good and 3 cases as fair, the overall satisfactory rate was 88. 5%. No complication such as postoperative infection, implant failure occured. Conclusions The efficacy of bilat parallel anatomic plate fixation for type C distal humerus fractures is good. It is the ideal surgical procedures of type C di humerus fractures.