文档介绍：1 肱骨髁间骨折手术治疗效果分析[摘要] 目的: 总结肱骨髁间粉碎骨折手术治疗的效果并对其疗效进行分析。方法:对 63 例不同类型肱骨髁间粉碎骨折患者采用手术治疗, 平均随访 34 个月(14 个月~ 63 个月), 采用 3 种不同的评分系统进行功能评价。结果: 经鹰嘴入路、钢板固定技术适应证广、功能恢复满意。结论: 经鹰嘴入路和钢板固定技术应作为肱骨髁间粉碎骨折的首选治疗方案, 损伤的严重程度、手术方式的选择、术后功能锻炼的方法和患者的配合程度对术后功能恢复至关重要。[关键词] 肱骨髁间; 骨折;治疗 Effect on Surgical Treatment minuted Humeral Intercondylar Fracture Abstract: Objective To conclude the result minnted fractures of humeral intercondyle treated by operation. Methods 63 cases minuted fractures of 2 humeral intercondyle treated by operation with variable approaches and variable fixations were followed by averaged months(14 ~ 63 months),functional result were evaluated with three rating The function resume after trans olecranon approach and platefixation technique were satisfactiary with broad Trans olecranon approach with platefixation is mended to be the best choice to minuted fractures of humeral severity of the initial trauma,operative scheme,post operative functional training and patients ’ cooperation are the most important elements for post operative functional recover. Key words:minutedfracture;Cure 肘关节是上肢的中间关节, 对协调上肢活动, 完成生活自理十分重要。肱骨髁间骨折后, 将严重损害肘关节功能。非手术治疗常因不能解剖复位和早期活动, 而导致肘关节疼痛性强直以及假关节形成而造成治疗失败。对这种严重的关节 3 内粉碎骨折, 采用鹰嘴入路和钢板固定技术, 解剖复位、早期无痛性功能锻炼, 取得了满意的结果。作者总结了本院创伤骨科 2001 年1 月至 2004 年 10 月采用鹰嘴入路和钢板固定技术治疗的肱骨髁间粉碎骨折 63例, 对治疗结果进行分析。 1 临床资料本组患者共 63例。其