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Y形钢板治疗成人肱骨髁上骨折的体会 被引量:3

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摘要 目的探讨Y形钢板治疗成人肱骨髁上骨折的方法和治疗效果。方法切开复位Y形钢板内固定治疗成人肱骨髁上骨折21例,其中11例采用肘后正中切口,尺骨鹰嘴截骨入路;10例采用肱三头肌舌形瓣切开,复位后均使用Y形钢板固定骨折。结果21例患者均获得随访,随访时间1~2年,平均14个月。骨折全部愈合,平均愈合时间4.5个月。肘关节功能恢复满意,根据Cassebaum方法评分:优7例,良10例,可4例,优良率为81.0%。异位骨化2例,无伤口感染、肘关节内外翻、尺神经损伤等并发症。结论Y形钢板内固定能为成人肱骨髁上骨折提供足够的稳定性,可早期行功能锻炼,肘关节功能恢复满意。
出处 《广东医学》 CAS CSCD 北大核心 2009年第4期602-603,共2页 Guangdong Medical Journal
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  • 1甄文英.重度肱骨髁间骨折早期处理[J].广东医学,1996,17(6):389-390. 被引量:9
  • 2朱亚中,冯水云,冯炜,陈金富,卢一生.儿童GartlandⅢ型肱骨髁上骨折手术方法的改进[J].中国矫形外科杂志,2006,14(2):146-147. 被引量:7
  • 3Cheng JC,Lam TP,Shen WY. Closed reduction and percutaneous pinning for type III didplaced supracondylar frctures of the humerus in children. J Orhtop Trauma,1995,9:511-515.
  • 4Gordon JE,Patton CM,Luhmann SJ,et al. Fracture stability after pinning of displaced supracondylar distal humerus fractures in children. J Pediatr Orthop,1991,11:191-194.
  • 5Iyengar SR,Hoffinger SA,Townsend DR. Early versus delayed reduction and pinning of type III displaced supracondylar fratures of the humerus in children: a comparative study. J Orhtop Trauma,1999,13:51-55.
  • 6Christina E. Techniques in shoulder and elbow surgery. Philadelphia: J.B.Lippincott Co,2004:90-102.
  • 7Fintan JS,Prashant M,Jacob C,et al."Dorgan's" percutaneous lateral cross-wiring of supracondylar fractures of the humerus in children. J Pediatr Orthop,2004,24:376-379.
  • 8De las Heras J,Duran D,De la Cerda J,et al.Supracondylar fractures of the humerus in children[J].Clin Orthop Relat Res,2005,(432):57 -64.
  • 9Kuo,Christina E MD,Widmann,et al.Reduction and percutaneous pin fixation of displaced supracondylar elbow fractures in children[J].Techniques in Shoulder& Elbow Surgery,2004,5 (2):90 -102.
  • 10Steven S L,Andrew T,Mahar,et al.Displaced pediatric supracondylar humerus fractures:biomechanical analysis of percutaneous pinning techniques[J].Journal of Pediatric Orthopedics,2002,22 (4):440-443.

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  • 1贺良,郭维光,孙林.股骨髁上骨折的手术治疗[J].中华外科杂志,2005,43(4):235-238. 被引量:31
  • 2汤小清,林昂如.双板固定治疗股骨远端复杂性骨折[J].广东医学,2006,27(6):829-831. 被引量:1
  • 3宋忠良,蔡培华.经尺骨鹰嘴截骨入路Y形钢板治疗肱骨髁间骨折临床探讨[J].临床医学,2006,26(6):35-36. 被引量:2
  • 4卢世壁,王继芳,王岩,等.坎贝尔骨科手术学[M].10版.济南:山东科学技术出版社,2001 : 2693 -2712.
  • 5STEWART M J. Fractures of the distal third of the femur[ J]. JBone Joint Surg Am, 1966, 48A: 784 -807.
  • 6NEER C S 2nd,GRANTHAM S A, SHELTON M L. Supracondy-lar fracture of the adult femur. A study of one hundred and ten ca-ses[ J]. J Bone Joint Surg Am, 1967,49(4) : 591 -613.
  • 7LEUNG K S, SHEN WY, SOWS, et al. Interlocking intramedul-lary nailing for supracondylar and intereondylar fracture of the distalpart of the femur[ J]. J Bone Joint Am, 1991, 73(3) : 332 -340.
  • 8JAAKKOLA J I,LUNDY D W, MOORE T,et al. Supracondylarfemur fracture fixation : mechanical comparison of the 95 degreescondylar side plate and screw versus 95 degrees angled blade plate[J]. Acta Orthop Scand,2002, 73(1) : 72 -76.
  • 9LUNGERSHAUSEN W, ULLRICH P. Biological osteosyntheses[J]. Zenralbl Chir, 1997, 122(11) : 954-961.
  • 10PALMER R H. Biological osteosynthesis[ J]. Vet Clin North AmSmall Anim Pract, 1999, 29(5) : 1171 -1185.

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