摘要
目的:探讨经肱三头肌两侧入路切开复位双钢板内固定治疗肱骨髁间骨折的疗效。方法:收集我院2007年1月～2011年1月收治的肱骨髁间骨折患者42例,经肱三头肌两侧入路行切开复位、钛板螺钉内固定术治疗21例(观察组)",Y"形钢板内固定术治疗21例(对照组),观察两组患者肘关节功能优良率、手术并发症、内固定及肘关节活动度。结果:随访3个月～4年,观察组随访19例,优13例,良3例,优良率为84.2%;对照组随访20例,优9例,良5例,优良率为70.0%,观察组优良率明显高于对照组,差异有统计学意义(P<0.05)。观察组无内固定失败、无并发症发生,对照组内固定失败率、并发症发生率分别为15.0%,5.0%,两组差异有统计学意义(P<0.05),且观察组肘关节活动度(126.4°±14.2°)显著优于对照组(103.4°±5.2°)(P<0.05)。结论:经肱三头肌两侧入路切开复位双钢板内固定是治疗肱骨髁间骨折的良好方法。
Objective： To explore the effects of dual-plate fixation for intercondylar fracture of the humerus via triceps muscle. Methods： Forty-two intercondylar fracture cases the collected during January 2007 and January 2011 Y-shape plate fixation bility and elbow mobili ging from 3 months to underwent dual-plate fixation via triceps muscle （n=21, observation group）, and （n=21, control group）. Elbow joint function, complication incidence, fixation staty were observed and compare between the two groups. Results. Following up ran- 4 years showed that 13 of the 19 cases of the observation showed excellent outcomes, 3 showed good outcomes with and excellent rate of 84.2%, for 20 cases of the control group, the corresponding number was 9 and 5, excellent rate was 70.0%, showing significant difference between the two groups （P〈0.05）. Neither fixation failure nor complications were observed in the observation group, while fixation failure and complications were observed in 15.0% and 5.0% of the 20 cases, which was significant higher than the observation group （P〈0.05）. Mobility of the involved elbow for the observation group was （126.4°± 14.2°） significant higher than（103.4°±5.2°） of the control group. Conclusions： Dual plate fixation via triceps muscle is an effective treatment for intercondylar fracture of the humerus.
出处
《海南医学院学报》
CAS
2011年第11期1524-1527,共4页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020110421)~~
