两种肘后入路治疗成人肱骨髁间骨折  

作　　者：汪海洋[1] 祝仁兵[1] 

机构地区：[1]四川省射洪县人民医院,629200

出　　处：《中国社区医师（医学专业）》2010年第21期80-81,共2页

摘　　要：目的:探讨两种肘后入路治疗成人肱骨髁间骨折的疗效。方法:回顾性分析两种肘后入路治疗34例成人肱骨髁间骨折的临床疗效。入路A经肱三头肌舌状瓣入路12例,入路B肱三头肌正中劈开入路22例。结果:34例全部获得8～24(13.6±3.2)个月随访。入路A优5例,良4例,可2,差1例,优良率75%;入路B优15例,良4例,可3例,差0例,优良率86.4%,两者比较差异有统计学意义。结论:经后方劈肱三头肌入路疗效优于经三头肌舌状瓣入路。Objeetlve：To compare clinical effects intercondylar fractures of humeru in adult treated with incision inner-fixation reduction using two posterior approaches to the elbow.Methods：From March 2006 to June 2009,34 patients with intercomdylar fractures of humeru were retrospectively analyzed.Among them,male 18 cases,female 16 cases,the mean age was 38.2years old（range from 22 to 68）.They were treated with incision inner-fixation reduction using two approaches.Approach A（12 cases）was Campbell＇s posterior approach of elbow.Approach B（22 cases）was posterior triceps-splitting approach.Results：All the 34 cases were followed up from 8 months to 2years after operation.The function of the elbow（according to Mayo assessment）showed Approach A 5 patients reached excellent,4 good,2 fair and 1 poor,the excellent-and-good rate was 75%;Approach B 15 patients reached excellent,4 good,3 fair and 0 poor,the excellent-and-good rate was 86.4%,with significant difference.Conclusion：Triceps-splitting approach is an effective procedure for intercondylar fracture of humeru,and is better than Campbell＇s posterior approach of elbow.

关 键 词：肱骨髁间骨折 成年人 治疗结果 手术入路 

分 类 号：R683[医药卫生—骨科学]