胫骨远端外侧解剖形钢板治疗成人肱骨中下段骨折

The treatment of middle-distal humerus fractures using anatomical plate of distal tibial

目的探索应用胫骨远端外侧解剖形钢板治疗成人肱骨中下段骨折的临床效果。方法 2010年~2013年,应用胫骨远端外侧解剖形钢板治疗成人肱骨中下段骨折18例,根据AO分型,其中A型6例,B型5例,C型7例。采用患肢同侧胫骨远端解剖钢板,前外侧入路,显露桡神经,骨折复位后钢板放置于肱骨中下段前外侧固定。结果 18例患者均获得随访,全部患者骨性愈合,未见内固定物松动断裂、切口感染及神经损伤等并发症发生。肩、肘关节功能优良率100%。结论胫骨远端外侧解剖型钢板是一种治疗成年人肱骨近中下段骨折可靠有效的方法。

Objective To study clinical effects of anatomical plate of distal tibial in treating the middle-distal humerus fractures. Methods Between 2010 and 2013,18 patients with fractures of the middle-distal humerus were treated with anatomical plate of distal tibial, 6 cases were type A fractures, 5 cases were type B fractures, 7 cases type C fractures.Anterolateral approach was used in all patients. Radial nerves were dissected. Fracture fragments were anatomically reducted and the anatomical plate of distal tibial placed on the lateral-front side of humerus. Results All patients were followed up for 20 months in average(ranging from12 to 36 months). Evaluated by Constant standard,the clinical result was excellent in all 18 cases. No infection, nonunion and radial nerve injury was observed. Conclusion Anatomical plate of distal tibial is an excellent alternative for treatment of middle-distal humerus fractures, especially for comminuted and adult patients.