经尺骨鹰嘴截骨入路治疗肱骨髁间骨折的临床疗效观察  

Clinical Effect Observation of Humeral Condylar Fractures Treated through Olecranon Osteotomy Approach

作　　者：周嘉庆 孟琳[2] 马华 赵奎 王华 

机构地区：[1]宜都市第一人民医院外二科,湖北宜都443300 [2]三峡大学医学院,湖北宜昌443001

出　　处：《医学综述》2009年第22期3517-3519,共3页Medical Recapitulate

摘　　要：目的评估采用经尺骨鹰嘴截骨和肱三头肌舌形肌瓣两种入路治疗肱骨髁间骨折的临床疗效。方法43例肱骨髁间骨折的患者行切开复位钢板内固定术,其中25例患者行尺骨鹰嘴截骨手术入路,18例患者采用传统肱三头肌舌形肌瓣入路。结果所有患者平均随访27.3个月。Mor-rey肘关节评分显示两组差异有统计学意义(P<0.05),X线片均未出现骨折延迟愈合。结论尺骨鹰嘴入路比肱三头肌舌形肌瓣入路更能获得良好的临床效果。Objective To review clinical outcome of intercondylar humeral fractures treated with olecranon osteotomy and tongue-shaped triceps muscle flap. Methods Open reduction and internal fixation using plates were performed in 43 cases with intercondylar humeral fracture, of which an olecranon osteotomy was carried out in 25 while tongue-shaped triceps muscle flap in other 18. Results All patientS were followed up for a mean 27.3 months. Morrey Elbow Score showed statistical difference（ P 〈 0.05 ）. X-ray analysis showed no delay healing. Conclusions Olecranon osteotomy can obtain good clinical outcome for intracondylar humeral fractures.

关 键 词：尺骨鹰嘴截骨 肱骨髁间骨折 骨折固定 手术入路 

分 类 号：R683.41[医药卫生—骨科学]