平行双钢板双柱固定技术治疗成人肱骨远端粉碎骨折  

Parallel-double-plate internal fixation technique in the treatment of distal humeral comminuted fracturein in adults

作　　者：陈广辉[1] 王洪伟[1] 阮美树[1] 

机构地区：[1]东莞东华医院骨二科,广东省东莞523110

出　　处：《中华生物医学工程杂志》2013年第2期140-143,共4页Chinese Journal of Biomedical Engineering

摘　　要：目的评价平行双钢板双柱固定技术重建成人肱骨远端粉碎性骨折的手术效果。方法2006年10月至2009年10月，采用切开复位平行双钢板双柱固定技术治疗成人肱骨远端粉碎性骨折20例，受伤至手术时间平均2d，手术采用肘后正中切口，术后3d开始保护性功能锻炼。所有患者按照Mayo肘关节功能评分（MEPS）评价，影像学检查评价内固定及骨折愈合情况。结果20例患者均获随访，时间（18．4±2）个月。X线证实骨折均一期愈合，无伤口感染及神经损伤并发症，无短缩和旋转畸形，无内固定失败。术后1年随访MEPS中位分数86分，优良率85．3％。结论平行双钢板双柱内固定治疗肱骨远端复杂骨折可实现骨折早期稳定固定，有助于患肢早期功能锻炼及关节功能的恢复。Objective To assess the effects of parallel- double- plate internal fixation on distal humeral comminuted fracture in adults. Methods Twenty consecutive adults with distal humeral comminuted fracture who received open reduction and internal fixation with parallel-double- plating at day 2 following bone faeture between October 2006 and October 2009 were enrolled. Posterior elbow median incision was adopted for surgery. The functional exercise program commenced at day 3 postoperatively. The function of elbow was assessed by Mayo elbow performance score （MEPS） , and the internal fixation and fracture healing by plain X-ray films. Results The 20 patients were followed up for 12 to 36 months [mean （18.4＋-2.0） months]. Neither infection of incisions, nor nerve injury, or deformity of shortening, rotation, or implantation failure were found. The median MEPS was 86 points and the overall excellence rate was 85.3% in the first year of follow-up. Conclusion The parallel-double-plate technique may facilitate early-stage solid fixation of distal humeral comminuted fracture and promote postoperative functional exercise of the affected extremity and joint rehabilitation.

关 键 词：肱骨 骨折 内固定器 

分 类 号：R687.3[医药卫生—骨科学]