不切断肱三头肌入路治疗肱骨髁间骨折  

Treatment of intercondylar fracture of humeral without cutting triceps muscle

作　　者：张乃鼎[1] 

机构地区：[1]云南省大理医学院非直属医院骨科,671000

出　　处：《中国局解手术学杂志》1998年第4期206-208,共3页

摘　　要：目的 为肱骨髁间骨折切开复位手术人路增加一种新术式。方法 对青壮年有移位新鲜肱骨髁间骨折采用肘后“S”形切口入路,不作传统的肱三头肌倒V字形切断,而是把与肱骨内、外髁骨折片相连的屈或伸肌健周组织适当松解,把骨折块连同肌附着一同拿出手术野,直视下复位固定。结果 自1981年至今收治12例,经过平均6年零四个月随访,按北京积水潭医院门振武医师所定标准,优良率达100％。结论 本法具有复位满意,固定牢靠,可早期功能锻炼的特点,有临床应用价值。Objective To seek a new surgical approach for treating intercondylar fracture of humeral. Methods 12 cases of fresh displaced intercondylar fracture of humeral were treated by the shape of 'S' of posterior approach to the elbow (which different from traditional way of shape of ' V' cutting triceps muscle). Loosing the surrounding tissue of extensor or flexor which connected with fragments of exteral and internal condylar. taking fragments with its adherent muscle away from incision. Then reducing and fixing the fracture. Results all cases were followed up 6. 4 years in average. According to Men Zhengwu's standard excellent and good results were seen in 100%. Conclusion The method advanced in satisfactory reduction, solid internal fixation. early exercise. So it is of clinical value.

关 键 词：肱三头肌 肱骨髁间骨折 治疗 手术入路 

分 类 号：R683.42[医药卫生—骨科学]