摘要
目的探讨自行设计的肱三头肌-肘肌瓣入路治疗肱骨远端骨折效果。方法采用自行设计的肱三头肌-肘肌瓣入路对57例C型(AO分类)肱骨远端骨折患者进行切开复位内固定治疗。结果患者均获得随访,时间5～26个月,57例骨折均获骨性愈合。按Jupiter肘关节功能评分:优41例,良12例,中3例,差1例(伤前存在肘关节畸形),优良率为92.3%。无切口皮肤坏死、深部感染、肱三头肌萎缩、骨化性肌炎、及骨不愈合发生。结论肱三头肌-肘肌瓣入路是治疗肱骨远端骨折的理想入路,可取得良好的肘关节和肱骨远端显露,内固定安放方便,术后可早期功能锻炼,临床效果好。
Objective To discuss the effect of fractures of distal humerus treated through posterior triceps brachii muscle-elbow muscle flap. Methods 57 cases of type AO-C patients with distal humeral fracture were treated through posterior triceps brachii muscle-elbow muscle flap for open reduction and internal fixation. Results All cases were followed up for 5 ~ 26 months. 57 cases of fractures got bone healing. According to Jupiter elbow joint dysfunction scores： 41 cases were excellent, 12 good, 3 fair and 1 poor （with Pre-injury elbow deformity）. The excellent and good rate was 92. 3%. No incision skin necrosis, deep infection, triceps muscle atrophy, ossifying myositis and bone nonunion were found. Conclusions Triceps brachii muscle-elbow muscle flap approach for treatment of fractures of distal humerus is the ideal approach, through good elbow and distal humerus exposure can be made to fixation. With early postoperative functional exercise, good clinical effect can be expected.
出处
《临床骨科杂志》
2012年第1期87-88,共2页
Journal of Clinical Orthopaedics
关键词
肱骨远端骨折
肱三头肌-肘肌瓣入路
肘关节
distal humerus fractures
triceps brachii muscle-elbow muscle flap
elbow joint
