双重建钢板治疗肱骨髁间粉碎性骨折的临床疗效观察  

The Clinical Efficacy of Dural Reconstruction Plates for Treatment of Comminuted Humeral Intercondylar Fracture

作　　者：张君哲[1] 朱康[1] 

机构地区：[1]北京市昌平区中医医院,北京102200

出　　处：《中国医学创新》2012年第15期3-5,共3页Medical Innovation of China

摘　　要：目的:通过对近6年笔者所在医院肱骨髁间粉碎性骨折的病例资料进行回顾性分析研究,观察双重建钢板治疗肱骨髁间粉碎性骨折的临床疗效。方法:收集2005年7月-2011年9月昌平中医院经骨科病房双重建钢板治疗得肱骨髁间粉碎性骨折病例24例,其中15例采用尺骨鹰嘴截骨入路,9例采用肱三头肌舌形瓣入路,观察双重建钢板内固定治疗的各项指标,术后1年对其随访,运用改良Cassebaum评分系统进行评分。结果:优12例,良9例,中2例,差1例,优良率87.5%;其中采用尺骨鹰嘴截骨入路的优11例,良3例,中1例,差0例,优良率为93.3%;采用肱三头肌蛇形瓣入路的优1例,良6例,中1例,差1例,优良率77.8%。有1例骨折不愈合,无骨化性肌炎。结论:双钢板内固定治疗肱骨髁间粉碎粉性骨折有适应征广及内固定坚强、可靠、能早期进行功能锻炼、肘关节功能恢复良好等优点,疗效满意,且采用尺骨鹰嘴截骨入路优于肱三头肌蛇形瓣入路。Objective： To investigate the clinical efficacy of dual reconstruction plates for comminuted humeral intercondylar fracture. Methods： The 24 cases with comminuted humeral intercondylar fracture were from the Orthopedic ward of Changping TCM Hospital from July 2005 to September 2011, and were treated with dural reconstruction plates internal fixation. Fifteen cases were treated through a transolecranon osteotomy approach, 9 cases through extra-articular osteotomy of oIecranon approach, Using modified Cassebaum scoring system to assess the efficacy of dural reconstruction plates internal fixation 1 year postoperatively. Results： 24 cases were followed up, excellent in 12 cases, good in 9 cases, fair in 2 cases, and poor in 1 case, and 87.5% excellent and good results were obtained. The cases through transolecranon osteotomy approach were excellent in 11 cases, good in 3 cases, fair in 1 case, and no poor case, and 93.3% excellent and good results were obtained. The cases through extra-articular osteotomy of olecranon approach were excellent in 1 case, good in 6 cases, fair in 1 case, and poor in 1 cases, and 77.8% excellent and good results were obtained. There was one case with nonunion, and had no myositis ossificans. Conclusion： Dural reconstruction plates internal fixation for comminuted humeral intercondylar fracture can provide wide indication, rigid and reliabie fixation, early exercise and good elbow function recovery. The results is satisfactory. And the transolecranon osteotomy approach is superior to extra-articular osteotomy of olecranon approach.

关 键 词：肱骨髁间粉碎性骨折 双重建钢板内固定术 

分 类 号：R687.3[医药卫生—骨科学]