鹰嘴截骨入路双钢板固定治疗肱骨髁间骨折  

Dual steel plate for the surgical management of intercondylar fractures of the humerus through approach of osteotomy of olecranon

作　　者：唐绪军[1] 周传凯[1] 王晓梅[1] 王晓光[1] 

机构地区：[1]济宁市第二人民医院骨科,山东济宁272049

出　　处：《中国骨伤》2009年第5期331-333,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨尺骨鹰嘴截骨入路应用肱骨内、外髁双钢板治疗肱骨髁间骨折的方法和临床疗效。方法:2001年6月至2007年3月采用尺骨鹰嘴截骨入路结合肱骨内、外髁双钢板治疗肱骨髁间骨折38例,男24例,女14例;年龄19～48岁,平均37岁;全部病例均为闭合性骨折。根据AO肱骨髁间骨折分型:C1型12例,C2型20例,C3型6例。受伤至手术时间6h～14d,平均7d。结果:38例患者均获得随访,时间5个月～2年,平均12个月。1例切口愈合欠佳,经换药治疗后愈合。骨折均已愈合,无骨不连发生,无内固定松动及断裂。愈合时间12～22周,平均15周。根据改良的Cassebaum评价标准评价肘关节功能:优15例,良17例,可5例,差1例。结论:经尺骨鹰嘴截骨入路显露骨折充分,肱骨内、外髁双钢板固定肱骨髁间骨折牢固可靠,早期功能锻炼是提高疗效的关键因素。Objective ：To explore the surgical management and its results of intercondylar fractures of the humerus through approach of osteotomy of olecranon （AOO） with dual steel plate. Methods ： From June 2001 to March 2007,38 patients of intercondylar fractures of humerus were treated surgically through AOO, and the fracture was reduced and fixed with dual steel plate. There were 24 males and 14 females with a mean age of 37 years（ range 19 to 48 years）. All cases were closed fractures. The fractures were classified according AO included 12 cases of C 1, 20 cases of C2 and 6 cases of C3. The time from injured to operation was 6 hours to 14 days （means 7 days）. Results：These 38 patients were followed up from 5 months to 2 years （average 12 months）. The wound healing of one patient was below the mark. After the treatment of change dressings,the wound healed. Of these 38 patients, no loosening or breakage of internal fixation occurred. All the osteotomies healed in 15 weeks averagely （ range 12 to 22 weeks）. According to Cassebaum scoring system ,the results were excellent in 15 cases, good in 17 cases, fair in 5 cases and poor in 1 case. Conclusion： The technique of dual steel plate for the treatment iutercondylar fractures of the humerus through approach of osteotomy of olecranon （AOO） offers many advantages, such as sufficient exposure easy, stable fixation and earlier exercise. Functional exercise in the early period is the crucial factor of enhancing the therapeutic effect.

关 键 词：肱骨髁间骨折 尺骨鹰嘴截骨 骨折固定术 内 

分 类 号：R683.41[医药卫生—骨科学] R719.8[医药卫生—外科学]