植骨治疗肱骨髁陈旧性骨折不愈合24例  

Treatment of Old Condyle Fractures of the Humerus with Bone Graft

作　　者：王俊颀[1] 宁凡友[1] 张嫩阁[1] 

机构地区：[1]河南省洛阳正骨医院上肢损伤科,河南洛阳471002

出　　处：《中国中医骨伤科杂志》2009年第7期28-29,共2页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨植骨治疗肱骨髁陈旧性骨折不愈合并骨缺损的疗效。方法:2005年5月～2008年6月我科收治由于儿童时期肱骨髁骨折治疗不当演变成的肱骨髁陈旧性骨折不愈合并骨缺损24例,采用常规肘关节内、外、后入路,术中清理折端瘢痕及死骨,植入髂骨块,恢复内、外侧柱的长度及连续性,钢板固定。如合并尺神经炎,则将尺神经松解、前置。结果:功能评定采用HSS评分,优9例,良12例,可2例,差1例,总优良率87.5%。结论:植骨治疗肱骨髁陈旧性骨折不愈合并骨缺损是一种有效的治疗方法。Objective：To investigate the curative effect of bone graft in treating old condyle fractures of the humerus. Methods：From May 2005 to June 2008, 24 patients with old condyle fractures of the humerus and bone defect due to malpractice in childhood received bone graft. The operations were carried out from interior approach, exterior approach and posterior approach of the elbow joint. After cicatricle and dead bone were removed, flank bone was transplanted into the condyle, and the length and succession of the interior and exterior column of humerus were restored and finally fixed with plates. If ulnar neuritis occurred, cubital nerve was loosened and fore-lied. Results：According to HSS elbow function scoring system, the excellent results were observed in 9 cases, good in 12 cases, fair in 2 cases and poor in 1 case. The excellent and good rate was 87.5 %. Conclusion： Bone graft is a very effective method in treating old condyle fractures of the humerus.

关 键 词：肱骨髁陈旧性骨折 尺神经炎 骨缺损 

分 类 号：R683.41[医药卫生—骨科学]