双钢板内固定治疗肱骨干下段骨折临床疗效观察

Curative Effect Observation in the Treatment of Distal Humeral Shaft Fracture with Double Steel Plate Internal Fixation

目的探讨应用双钢板内固定技术治疗肱骨干下段骨折的临床疗效.方法纳入2009年3月至2014年4月期间云南省第二人民医院创伤外科60例肱骨干下段骨折患者,其中采用双钢板内固定治疗28例为治疗组(A组),采用单钢板治疗者32例为对照组(B组).比较2组患者的术中出血量、住院时间、术后引流量及骨折愈合时间.同时,比较2组患者末次随访时的Mayo肘关节功能评分评分.结果 (1)2组患者的术中出血量、住院时间及术后引流量均无统计学差异,但是骨折愈合时间A组[(8.26±1.23)月]短于B组[(9.54±1.83)]月,差异有统计学意义(P<0.05);(2)MEPS评分结果显示,A组患者的优良率为96.4%,而B组患者的优良率为75%,差异有统计学意义(P<0.05).结论采用双钢板内固定术及单钢板固定术治疗肱骨干下段骨折的术中出血量、术后引流量及住院时间相当,但前者具有更短的骨折愈合时间,更好的疗效.因此应用双钢板内固定治疗肱骨干下段骨折可以获得坚强的内固定,有助于早期功能锻炼,临床疗效较好.

Objective To investigate the curative effect of the treatment for the distal humeral shaft fracture with double steel plate internal fixation. Methods A total of 60 individuals who were humeral shaft fractures were included from March 2009 to April 2014 in the second people＇s hospital of Yunnan province. 28 of them were treated using double plate fixation（group A） and 32 of them were treated using single-plate treatment（group B）. Blood loss,hospital stay, postoperative drainage, healing time and Mayo elbow performance score were compared between the two groups. Results（1） Blood loss, hospital stay and postoperative drainage showed no differences between two groups.However, the healing time between these two groups showed difference（P〈0.05）.（2） MEPS score results showed a significantly difference in the excellent rate of patients between groups A and B（96.4% and 75%,respectively,P〈0.05）. Conclusion The double plate fixation and single plate fixation for treatment of humeral shaft fracture showed no differences in operation time, blood loss, postoperative drainage and hospital stay.However,the double plate fixation showed a shorter healing time and better efficacy. Thus,the double plate fixation of humeral shaft fracture can contribute to obtain the rigid internal fixation, early functional exercise and better clinical efficacy.