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改良肘后入路Y形钢板治疗肱骨髁部骨折

Hits: 1932 Download times: 1251 Received:October 17, 2005

作者	Author	单位	Unit	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19卷，第7期，第405-407页

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

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.

KEYWORDS: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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