摘要
目的探讨经尺骨鹰嘴"V"型截骨肘后入路,双柱固定治疗肱骨髁间骨折的临床疗效.方法2005年3月至2011年6月易门县人民医院手术治疗成人肱骨髁间骨折18例,男12例,女6例,年龄14～60岁,平均40岁,AO/LASIF分型:A型2例,B型7例,C型9例,在臂丛+基础麻醉下,采用尺骨鹰嘴"V"型截骨,肘后入路行内外侧钢板内固定;术后指导行功能锻练,定期随访了解功能锻练及骨折愈合情况.按Cassebaum法评价肘关节功能.结果 18例患者骨折及尺骨鹰嘴截骨部均愈合.评定结果为优12例,良4例,可2例,优良率为:88.9%.结论肱骨髁间粉碎性骨折采用经尺骨鹰嘴"V"型截骨,肘后入路、切开复位、双柱双钢板固定术,有利于肘关节早期活动,防止粘连,能最大限度地恢复肘关节的功能.是一种理想的手术入路.
Objective To investigate the efficacy of olecranon ＂V＂ osteotomy double-column fixation in treatment of humeral condylar fracture.Methods We gave surgical treatment to adult humeral condylar fracture in 18 cases,including 12 males and 6 females,aged 14-60 years,mean 40 years old,from March 2005 to June 2011 in The First People＇s Hospital of Yunnan Province.AO/LASIF types analysis showed that A type in 2 cases,B type in 7 cases,C type in 9 cases.After brachial plexus and basal anesthesia,patients were given olecranon ＂V＂ osteotomy and exterior and interior plate fixation from outer margin of elbow approach.Patients were guided to functional training,and the regular follow-up was given to understand fracture healing.The elbow function was evaluated by Cassebaum system.Results All 18 patients with humeral condylar fracture and olecranon ＂V＂ osteotomy ere healed.The therapeutic effect was excellent in 12 cases,good in 4 cases and general I 2 cases,and the excellent and good rate was 88.9%.Conclusion For humeral condylar fractures,olecranon ＂V＂ osteotomy from outer margin of elbow approach,open reduction and double-column plate fixation may prevent bone conglutination,and restore elbow function,so it is an ideal operation way.
出处
《昆明医科大学学报》
CAS
2012年第10期97-99,共3页
Journal of Kunming Medical University
