Y形钢板治疗肱骨远端骨折疗效分析  

Effective analysis of distal humeral fractures treated with Y-shaped plate

作　　者：张家宏[1] 谢武昆[1] 成金磊[1] 王延鹤[1] 

机构地区：[1]合肥市第一人民医院创伤骨科,安徽合肥230001

出　　处：《临床骨科杂志》2012年第4期402-404,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨Y形钢板内固定治疗肱骨远端骨折疗效。方法对38例肱骨远端骨折患者应用Y形钢板内固定治疗,并对手术入路、内固定的应用、术后不良反应进行分析,对手术疗效进行评价。结果 38例均获随访,时间12～36个月,按照改良的Cassebaum评分系统评定术后肘关节功能:优22例,良11例,可5例,优良率为86.84%。出现桡神经挫伤1例,尺神经炎1例,肱肌异位骨化1例。结论 Y形钢板治疗肱骨远端骨折力求解剖复位,重建稳定;其具有固定牢固,术后可早期功能锻炼、并发症少等优点,疗效满意。Objective To investigate the effect of distal humeral fractures treated with Y-shaped plate. Methods 38 patients with distal humeral fi＇actures were treated by Y-shaped plate. The outcomes, the approach and the methods of the fixation were evaluated. Results 38 cases were followed up for 12- 36 months. According to the criteria of Cassebaum,the results were excellent in 22 cases,good in 11 ,fair in 5 ,and the excellent and good rate was 86.84%. There are three complications ： contusion of radial nerve 1 case, ulnar neuritis 1 case and ectopic ossification 1 case. Conclusions Y-shaped plate provides an anatomic reduction and stable fixation and less complications so that the function exercises can be started as early as possible,

关 键 词：Y形接骨板 肱骨远端骨折 骨折固定术 内 

分 类 号：R683.42[医药卫生—骨科学] R687.32[医药卫生—外科学]