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改良肘后入路Y形钢板治疗肱骨髁部骨折

摘要点击次数: 1935 全文下载次数: 1256 投稿时间：2005-10-17

作者	Author	单位	Address	E-Mail
樊良	FAN Liang	绍兴市人民医院骨科,浙江绍兴312000,		godfan@hotmail com
陈维善	CHEN Wei-shan	浙江大学医学院附属第二医院骨科,浙江杭州310009	Department of Orthopaedics,the Second Affiliated Hospital of Medical College of Zhejiang University,Hangzhou 310009,Zhejiang,China
赵晓峰	ZHAO Xiao-feng	绍兴市人民医院骨科
金以军	JIN Yi-jun	绍兴市人民医院骨科

期刊信息：《中国骨伤》2006年，第19卷，第7期，第405-407页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

基金项目:

中文摘要:

目的:探讨改良肘后正中纵行入路Y形钢板内固定治疗肱骨髁部粉碎性骨折的临床疗效。

方法:23例肱骨髁部骨折(按AO/ASIF分类法:A₃型10例,C₁型6例,C₂型4例,C₃型3例),采用改良肘后正中纵行入路Y形钢板内固定,术后配合肘关节功能锻炼,早期应用非甾体类药物。

结果:术后平均随访15个月,按Cassebaum标准进行肘关节功能评定:优17例,良4例,可2例,优良率91.3%。无血管神经损伤、内固定失败、骨化性肌炎、骨折畸形愈合、骨不连等发生。

结论:改良肘后正中纵行入路Y形钢板内固定具有暴露安全充分、内固定可靠、术后并发症少的优点,可作为治疗肱骨髁部粉碎性骨折的首选。

【关键词】肱骨髁部骨折粉碎性骨折骨折固定术,内

Treatment of comminuted humeral condylar fracture with Y-shape plate fixation and modified intermedial-longitudinal approach of elbow

ABSTRACT

Objective:To investigate the outcome of comminuted humeral condylar fractures with（Y-shape） plate fixation and modified intermedial-longitudinal approach of elbow.

Methods:Twenty-three patients with comminuted humeral condylar fracture were classified according to AO/ASIF,A₃ in 10 cases,C₁ in 6,C₂ in 4,C₃ in 3.The fractures were fixed with Y-shape plate through modified intermedial-longitudinal approach elbow.Following elbow joint functional exercises and taking no-steroid in the early stage.

Results:All patients were followed up with average of 15 months.According to elbow joint functional standard of Cassebaum,17 case were excellent result,4 good and 2 fair.The rate of excellent and good was 91.3%.No injuries of blood vessel and nerve,failure of internal fixation,myositis ossificans,malunion,nonunion were found.

Conclusion:Modified approach and Y-shape plate fixation has such advantages as sufficient exposure,reliable fixation,less complication,which may become the first selection for treating comminuted humeral condylar fractures.

KEY WORDS Humeral condylar fractures Comminuted fractures Fracture fixation,internal

引用本文，请按以下格式著录参考文献：

中文格式:	樊良,陈维善,赵晓峰,金以军.改良肘后入路Y形钢板治疗肱骨髁部骨折[J].中国骨伤,2006,19(7):405~407
英文格式:	FAN Liang,CHEN Wei-shan,ZHAO Xiao-feng,JIN Yi-jun.Treatment of comminuted humeral condylar fracture with Y-shape plate fixation and modified intermedial-longitudinal approach of elbow[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(7):405~407

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