文档介绍：C型肱骨髁间骨折32例治疗分析
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【摘要】目的探讨成人肱骨髁间骨折手术治疗方法和临床疗效。方法回顾性分析我科1997年8月~2008年12月收治C型肱骨髁间骨折32例的临床资料,骨折类型按AO/ASIF分类为:C1型11例,C2型14例,C3型7例。全部采用尺骨鹰嘴截骨入路,双侧重建钢板固定治疗。结果 32例全部获得6~24个月随访,随访期内无内固定松动、断裂,无尺神经损伤,骨折全部愈合,。按照Gassebanm评定标准,优21例,良8例,可3例;%。结论 C型肱骨髁间骨折解剖复位、坚强内固定有利于早期功能锻炼和关节功能恢复。
【关键词】肱骨骨折;截骨;内固定
Abstract: Objective To evaluate the clinical e of open reduction and internal fixation for the intercondylar fractures of the distal humerus in Thirtytwo patients with AO/ASIF type C fractures of the distal humerus(11 cases type C1,14 cases type C2,and 7 cases type C3),who were admitted into our hospital from to ,were treated with open reduction and doubleplate All the patients were followed up for 14 months(range,624 months).The patients had no internalfixation loosening,no breakage,no unlar nerve injuries at the latest follow to the Gassebanm system,excellent in 21,good in 8,fair in excellent and good rate was %.Conclusion Anatomical reconstruction and stable fixation allowing early mobilization of the elbow are the basic prerequisites for good clinical es.
Key words:fracture of humerus;ostectomy;internal fixation
肱骨髁间骨折为关节内骨折,关节面受损明显,常伴有关节囊和周围软组织广泛撕裂,严重时伴血管神经损伤,是骨科临床处理的一个难题。以往多采用有限内固定、术后长臂石膏托外固定治疗,因病人无法早期进行功能锻炼,常遗留不同程度的肘关节功能障碍。随着对肱骨髁间骨折认识的加深,目前趋向于坚强