外侧入路治疗肱骨髁间骨折  

Lateral Approach to Treat the Intercondylar Fracture of Humerus

作　　者：李明东[1] 赵吉连[1] 

机构地区：[1]赤峰市医院骨科,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2009年第12期1448-1450,共3页Inner Mongolia Medical Journal

摘　　要：目的：探讨肱骨髁间骨折的手术方式并评价其临床疗效。方法：自2001年7月2008年4月共手术治疗肱骨髁间骨折47例49肘,进行随访分析。平均随访15个月后用改良Cassebauxn评分系统对其疗效评定。结果：47例中无1例骨不连,术后疗效为优25例,良17例19肘,可4例,差1例,优良率为89%。结论：关节骨折粉碎程度影响预后。术中解剖复位,减少人为损伤,选择合理、牢固的内固定,术后根据固定情况制定功能康复计划,可获得良好效果。Objective：To explore the treatment of intercondylar engfracture of humerus and the curative effect.Methods：47 intercondylal fractures of humerus were treated from 2001 to 2008,and followed up for an average of 15 months.The curative effects were evaluated with modified cassebaum rating system.Results：25 caseswere exce-elent,17 were good,4 were fair and one were poor.Conclusion：The degree of the intraarticular fracture affect the progress.Decrease the artificial injure and choose rational and firm internal fixation intraoperatively.In the light of fixation situation to draw up the plan of the fuctional exercise can obtain satisfactory effort postoperatively.

关 键 词：肱骨髁间骨折 内固定 

分 类 号：R734.2[医药卫生—肿瘤]