改良肘后入路Y形钢板治疗肱骨髁部骨折 |
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Received:October 17, 2005
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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 |
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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 |
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Treatment of comminuted humeral condylar fracture with Y-shape plate fixation and modified intermedial-longitudinal approach of elbow |
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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 |
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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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