摘要
目的观察肱三头肌舌形瓣入路行肱骨远端C型骨折内固定的应用效果。方法自2004年7月。2011年1月应用肱三头肌舌形瓣入路行肱骨远端C型骨折内固定22例，观察术中显露效果、骨折愈合率和肘关节功能恢复情况。结果术中可清晰显露，肱骨远端骨折及关节面均实现解剖对位，术后石膏托制动2周后逐渐开始肘关节功能锻炼，平均骨临床愈合时间3．6个月，关节功能普遍恢复良好。结论采用肱三头肌舌形瓣入路，对肱骨远端C型骨折行骨折复位内固定，能够达到术中充分显露，肘关节功能恢复满意。
Objective To investigate the clinical effect of the triceps aponeurosis tongue-shaped flap approach for treatment of adult distal humerus fractures. Methods From July 2004 to January 2011,22 cases of intraarticular fractures of the distal humerus were treated with open reduction and internal fixation through the triceps aponeurosis tongue-shaped flap approach. The clinical effects were evaluated through assessing the adequacy of operative exposure, visualization of the articular reduction and fixation, rate of bone union and recovery of the elbow joint function. Results The approach can provide adequate exposure for distal humerus AO/ASIF type C fractures, gradually increased excise motion may begin after 2 weeks of splinting, the mean time of bone union was 3.6 months, and no nonunion was occurred, good recovery was obtained. Conclusion The use of triceps aponeurosis tongue-shaped flap approach to gain acceses to the distal humerus provides adequate exposure and obtains good clinical result. It avoids the reported complications of olecranon osteotomy approach and is easily performed.
出处
《中国骨与关节损伤杂志》
2012年第11期999-1001,共3页
Chinese Journal of Bone and Joint Injury
关键词
肱骨远端
骨折内固定
肱三头肌
手术入路
Surgical approach
Humerus fracture
Triceps muscle
Internal fixation
