摘要
目的比较肱骨远端C型骨折的三种双钢板固定方法。方法选择2004年1月-2008年12月收治的59例肱骨远端C型骨折患者，均采用双钢板固定。其中垂直双钢板固定34例（A组），背侧双钢板固定14例（B组），平行双钢板固定11例（c组）。采用Mayo的肘关节评分系统（MEPS）对患侧肘关节进行功能评分。三组围术期的变量用方差分析、X2检验及Fish—er确切概率法进行比较。结果平均随访时间28个月（12—55个月）。所有骨折均顺利愈合，各组疗效均较满意。三组功能结果差异无统计学意义，C组中固定有难度的患者比例明显高于其他两组。A组和B组中常需要1枚额外的髁间螺钉，但在C组中很少需要。结论三种双钢板固定均为治疗肱骨远端C型骨折的有效方法，钢板位置的放置常取决于临床骨科医师的经验及骨折的具体形态。
Objective To compare three different internal fixations using dual plates in treatment of type C distal humerus fractures. Methods A total of 59 patients with type C distal humerus fractures fixed with dual plates between January 2004 and December 2008 were enrolled in the study, including 34 patients managed by perpendicular dual plate internal fixation （ Group A ） , 14 patients by dorsal dual plate internal fixation （ Group B ）, and 11 patients by parallel dual plate internal fixation （ Group C ）. Functional outcomes of injured elbow joints were assessed using Mayo elbow performance score （MEPS）. Fisher＇ s exact probability, chi-square test and variance analysis were used to compare the perioperative variables among groups. Results The patients were followed up for average 28 months （range, 12-55 months）, which showed that all fractures were smoothly healed with satisfactory curative effects in each group. There were no significant differences with respect to functional outcomes among three groups. The patients with surgery difficulty in Group C were more than those in other two groups. Besides, an additional intereondylar screw was always required in Groups A and B, but rarely in Group C. Conclusions All internal fixations with three dual plates are effective in management of type C distal humeral fractures. The location of plates is determined by experiences of orthopedic surgeons and specific fracture type.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2013年第1期43-48,共6页
Chinese Journal of Trauma
关键词
肱骨骨折
骨折固定术
内
治疗结果
Humeral fractures
Fracture fixation, internal
Treatment outcome
