摘要
[目的]探讨采用手术治疗成人肱骨小头冠状面骨折的固定方法和疗效。[方法]自2001年1月-2005年7月，采用手术切开直视下复位骨折，分别于肱骨小头、滑车置人螺钉固定治疗肱骨小头骨折6例。男2例，女4例，年龄27—48岁，平均38岁，左侧4例，右侧2例。所有患者均为新鲜闭合性骨折，无神经、血管损伤。手术时间为伤后3—9d。[结果]6例手术中均无血管、神经损伤，术后伤口Ⅰ期愈合，X线片显示骨折解剖复位。全部病例均获得随访，随访时间为术后12—52个月，平均32个月。骨折临床愈合时间为6—9周，平均7周。未见肘关节骨化性肌炎、肱骨小头缺血性坏死等并发症。疗效评估在使用Broberg—Morrey评分系统标准进行评价，结果极好5例，好1例。[结论]肱骨小头冠状面骨折应行切开复位内固定术，达到解剖复位和牢固固定并早期行肘关节主动伸屈功能锻炼，疗效满意。
[ Objective] To evaluate the clinical result of surgical treatment of coronal shear fracture of the capitellum humeri of adults. [ Method] From January 2001 to July 2005,6 cases of 2 males and 4 females with coronal fractures capitulum humeri were chosen open reduction and internal fixation utilizing screws. The fractures were terated under direct vision and were fixed with screws. The left arms in 4, right in 2, the age of the group were from 27 to 48 years old, with the average of 38 years. The operative time was from 3 days to 9 days after injury. All cases were fresh and close fractures. [ Result] All operations were successful, no nerves and blood vessels injury was found, the incisions were all healed by first intention. The X-ray films showed that the fractures were anatomic reduction. The healing time was 7 weeks in average with 6 to 9 weeks range. All cases were followed up from 12 to 52 months with an average of 32 months, no postoperative complications such as myositis ossificans or avascular necrosis of capitulum humeri was found. According to Broberg - Morrey Scale, there were 5 caese of excellent, lcase of good. [ Conclusion] The coronal shear fracture of the capitellum humeri of adults are suitable for opening reduced direct vision and fixing with screws, prompt treatment with anatomic reduction and internal fixation and early rehabilitation could lead to excellent or good outcomes.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第24期1850-1852,共3页
Orthopedic Journal of China
关键词
肱骨小头
冠状面骨折
骨折固定术
肘关节
head of humerus
coronal shear fractures
internal fixation
elbow joint
