内外侧双钢板内固定手术治疗复杂肱骨远端骨折的临床疗效

Clinical analysis of Double-plate fixation for complex fractures of the distal humerus

目的探讨内外侧双钢板内固定手术治疗复杂肱骨远端骨折的临床疗效。方法收集2009年1月~2014年1月我院收治18例C型肱骨远端骨折患者进行回顾性分析,按照AO骨折分型,其中C1型7例,C2型5例,C3型6例;18例患者均采用肱骨远端内外侧联合入路手术并均用内外侧解剖锁定钢板进行内固定治疗,术后指导功能锻炼并定期随访,采用Cassebaum方法评价其临床疗效。结果 18例均采用内外侧解剖锁定钢板内固定方式完成手术,均获得定期随访12~48（18±1.1）个月。患者骨折全部愈合,无感染、骨不连或创伤性关节炎情况发生;随访采用Cassebaum方法评定术后肘关节功能,其中优13例,良3例,可2例,优良率为89.0%。结论内外侧双钢板内固定手术治疗复杂肱骨远端骨折具有较好临床疗效,是治疗复杂肱骨远端骨折的最有效方法之一,应该得到更深入的研究与推广。

Objective To study the effects of Double-plates fixation for complex fractures of the distal humerus.Methods According to the AO/OTA classification system,7 cases were belonged to type C1,5 to type C2,6 to type C3.The study involved 18 patients with complex distal humeral fractures undergone double-plate fixation from January 2009 and January2014.In addition,regular follow-up were carried out Strictly and the data was analyzed with statistical methods.Results Eighteen patients were treated with double plating internal fixation successfully and followed up for 12-48（18±1.1）months.All of the cases were healed,No infection,nonunion and posttraumatic arthritis had been reported.The function of the elbow according to Cassebaum score system showed excellent in 13 cases,good in 3,fair in 2,the excellent-good rate was 89.0%.Conclusion The surgical procedure of Double-plate fixation is feasible and useful clinically for complex fractures of the distal humerus,and further prospective study should be carried out to elucidate the efficient of this surgical procedure.