经尺骨鹰嘴截骨入路双钢板内固定治疗重度肱骨髁间粉粹性骨折  

The internal fixation with double steel plate by the olecranon osteotomy approach in the treatment of severe condyle humeral intercondylar splintered fracture

作　　者：叶小林[1] 

机构地区：[1]深圳市坪山新区人民医院骨科,广东省深圳518118

出　　处：《中国基层医药》2012年第10期1478-1479,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨经尺骨鹰嘴截骨入路双钢板内固定治疗重度肱骨髁间粉粹性骨折的手术方法及疗效。方法对50例重度肱骨髁间粉粹性骨折患者，采用后正中切口经尺骨鹰嘴截骨入路切开复位双钢板内固定治疗。结果50例患者均获得6个月至2年的随访；骨折愈合时间3～6个月；无骨不连、骨化性肌炎、迟发性尺神经受压、内固定失效等并发症。肘关节功能评定：优35例，良9例，可6例，优良率88％。结论经尺骨鹰嘴截骨人路双钢板内固定治疗重度肱骨髁间粉粹性骨折是较好的入路，暴露充分，手术解剖复位重建肘关节稳定，骨折复位满意，术后可早期功能锻练，并发症少。Objective To explore the effect and surgical management of the internal fixation with double steel plate by the olecranon osteotomy approach in the treatment of severe condyle humeral intercondylar splintered fracture. Methods 50 patients with severe condyle humeral intercondylar splintered fractures were treated by double plate internal fixation through oleeranon osteotomy. Results All patients （50 cases） were followed up for 6 months to 2 years. The complications such as bone defect, ossifyingmyositis, tardive ulnar nerve compression, and internal fixation fail were not found. According to Aitken Rorabeck scale,the function of the elbow showed excellent in 35 cases, good in 9 cases, fair in 6 cases,the excellent and good rate was 88%. Conclusion The internal fixation with double steel plate by the olecranon osteotomy approach in the treatment of severe condyle humeral intereondylar splintered fracture was a good approach. Anatomical reduction surgically reconstructed stabilization of the elbow and early active rehabilitation were crucial factors of functional rehabilitation of the elbow.

关 键 词：重度肱骨髁间粉粹性骨折 尺骨鹰嘴截骨 骨折固定术 

分 类 号：R687.3[医药卫生—骨科学]