经肱三头肌双侧入路双钢板治疗C型肱骨远端骨折  

Treatment of Type C Fracture of Distal Humerus with Double Plates Through Bilateralis of Triceps Brachii Approach

作　　者：陈坤壮 温建强[2] 包杭生[2] 张宏宁[2] 

机构地区：[1]广东省陆丰市甲子人民医院骨科,广东陆丰516538 [2]广东省佛山市中医院骨科

出　　处：《中国伤残医学》2013年第7期12-13,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：评价经肱三头肌双侧入路双钢板治疗c型股骨远端骨折临床疗效。方法：2009年1月-2012年1月，采用开放复位、双钢板内固定治疗c型肱骨远端骨折18例，其中男12例，女6例；年龄18～55岁，平均36岁。骨折按AO／ASIF分类法，C1型8例，C2型6例，C3型4例。术后随访时间12—22个月，平均15个月，根据改良Cassebaum肘关节评分标准进行临床疗效评定。结果：按改良Cassebaum肘关节评分标准，结果：优12例，良3例，可2例，差1例，优良率83．3％。发生皮瓣坏死1例，无螺丝钉松动、断裂及内固定失败发生。结论：经肱三头肌双侧入路双钢板治疗C型股骨远端骨折显露清楚，固定牢靠，保全伸肘装置，配合早期主动功能锻炼，能最大程度恢复肘关节的功能。Objective：To evaluate clinical effect of treatment of type C fracture of distal humerus with double plates through bilateralis of tri- ceps brachii approach.. Method： From January 2009 to January 2012,18 patients with type C fracture of distal humerus, including 12 males and 6 females, were treated with surgical reduction and internal f＇Lxation with double plates. The mean age of the patients was 36 years （ 18 - 55 years）. According to AO/ASIF classification, there were 8 of type C1 ,6 of type C2, 4 of type C3. The follow -up period ranged from 12 to22 months with a mean of 15 months. The clinical results were assessed according to the Cassebaum evaluation system. Results： According to the Cassebaum elbow score standard, 12 were excellent,3 were good, 2 were fair and 1 was poor and the satisfactory rate was 83.3% . One occurred skin flap necrosis. No screw sliding, dislodging or fixation failure was found during follow - up. Conclusion： In treatment of type C fracture of distal humerus, double plates through bilateralis of triceps brachii approach not only maintain sufficient exposure with reliable fixation, but also assure the safety of the extension of elbow installment. The coordination with early function exercise, can restore the elbow joint function to the greatest.

关 键 词：肱三头肌 双钢板 肱骨远端骨折 骨折固定术 

分 类 号：R683.4[医药卫生—骨科学]