多种内固定材料联合应用治疗肱骨髁间粉碎性骨折的效果观察  

Application of composite internal fixation in treating humeral condylar fracture

作　　者：王六五 樊先明[1] 刘文武[1] 

机构地区：[1]安徽省桐城市人民医院骨科,231400

出　　处：《蚌埠医学院学报》2011年第6期592-593,共2页Journal of Bengbu Medical College

摘　　要：目的:探讨联合应用重建钢板、螺钉、克氏针及张力带等内固定材料在肱骨髁间粉碎性骨折治疗中的作用。方法:对15例C型肱骨髁间粉碎性骨折采用尺骨鹰嘴截骨入路,应用加压空心螺钉、克氏针、胸科钢丝结合重建钢板固定重建肱骨髁部,对于严重缺损者,取髂骨植骨,术后早期功能锻炼。结果:15例均随访12～36个月,骨折愈合时间2.1～7.2个月。改良Cassebaum评分系统评定肘关节功能优5例,良7例,中2例,差1例;优良率为80.00%。结论:钢板、螺钉、克氏针及张力带等内固定材料组合成的金属植入物符合生物力学原理,基本实现肱骨髁部的重建,多点位、多维空间的加压固定,髁部骨块的良好复位和有效固定,配合术后患肢早期功能锻炼,有利于肘关节功能的恢复,疗效显著。Objective：To investigate the combination of reconstruction plate, screw, Babcock needle and thread tension in treating humeral condylar fracture. Methods： Fifteen patients suffered C-type humeral condylar fractures were treated with pressure hollow screw, Babcock needle,steel wire combined with reconstruction plate to reconstruct humeral condylars. For those with sevier defects, autogenous iliac bone grafting, and early post-operative exercises were used. Results：All patients were followed up for 12 to 36 months. The fracture healing time was from 2.1 to 7.2 months. According to the modified Cassebaum scoring system of elbow joint function, there were 5 excellent cases ,7 good cases,2 fair case and 1 poor case;the excellent and good rate was 80.00%. Conclusions：Composite fixation of plate, screw, Babcock needle and thread tension is consistent with biomechanical principles,basically realized the humeral condylar reconstruction. Multi-bit ,multi-dimensional space pressure fixation ,and early exercise can improve the recovery elbow joint function.

关 键 词：肱骨骨折 内固定器 钢板 螺钉 克氏针 

分 类 号：R683.41[医药卫生—骨科学]